IndividualActive
Angela Potucek
NPI 1922388362 · Assistant Behavior Analyst · Rockledge, FL
Provider details
- NPI number
- 1922388362
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0-05-1917 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5830 US Highway 1
Rockledge, FL 32955-5761
Phone: (216) 099-0073
Approximate (ZIP-level) locationGet directions
Mailing address
125 E Nasa Blvd
Melbourne, FL 32901-1900
Additional practice locations (2)
- 125 E Nasa BlvdMelbourne, FL 32901-1900Phone: (321) 345-4232
- 2180 Julian Ave NePalm Bay, FL 32905-4020Phone: (321) 345-0861
Registry dates
- Enumerated
- 2011-08-17
- Last updated
- 2025-09-02
- Certified
- 2025-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.