Provider Demographics
NPI:1962275875
Name:REGO NAPOLES, FANNY
Entity type:Individual
Prefix:
First Name:FANNY
Middle Name:
Last Name:REGO NAPOLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13790 SW 272ND ST APT 303
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-8122
Mailing Address - Country:US
Mailing Address - Phone:786-870-9594
Mailing Address - Fax:
Practice Address - Street 1:13790 SW 272ND ST APT 303
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-8122
Practice Address - Country:US
Practice Address - Phone:786-870-9594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst