Individual provider Active NPI

Gleniar Fernandez Camallere

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1861262362
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-90039 Issued in FL
Practice address
730 Sand Lake Rd Ste 176
Orlando, FL 32809-7747
Phone
(407) 214-5539
NPI assigned
Jan 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-26-90039 FL Primary

Addresses

Primary practice location

730 Sand Lake Rd Ste 176
Orlando, FL 32809-7747

Mailing address

5149 Vista Lago Dr
Orlando, FL 32811-8310
Phone (407) 984-8306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1861262362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5149 VISTA LAGO DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328118310",
            "telephone_number": "407-984-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SAND LAKE RD STE 176",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097747",
            "telephone_number": "407-214-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ CAMALLERE",
        "first_name": "GLENIAR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-26-90039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.