NPI 1013696830

Edelys Roque

Practitioner Behavior Technician North Fort Myers, FL

Practice location

Address: 4085 Hancock Bridge Pkwy STE 101, North Fort Myers, FL 33903-7220
Phone: (239) 677-3767
Mailing address: 300 International Pkwy STE 200, Lake Mary, FL 32746-5028

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Florida →

Registry record

NPI: 1013696830
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2023
Record last updated: 18 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.