Individual provider · Type 1 NPI

Maryan Gallardo Perdomo

Behavior Analyst · Fort Myers, FL

NPI number 1699529214 Active

Practice location

3240 Champion Ring Rd Apt 1207
Fort Myers, FL 33905-6172

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	1-26-2842136 (FL)
Behavior Technician	106S00000X	RBT-24-335803 (FL)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1699529214

Maryan Gallardo Perdomo's National Provider Identifier is 1699529214, issued on Apr 11, 2024. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Fort Myers, FL. The record was last updated on Sep 18, 2026.