Individual provider Active NPI

Gabriela Delgado Avila, RBT

  • Developmental Therapist
  • Orlando, FL
National Provider Identifier
1902627938
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
BACB1064726 Issued in FL
Practice address
1300 E Michigan St Ste B
Orlando, FL 32806-4815
Phone
(407) 488-6898
Fax
(407) 988-2452
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X BACB1064726 FL Primary

Addresses

Primary practice location

1300 E Michigan St Ste B
Orlando, FL 32806-4815

Mailing address

10200 Willowemac CT
Orlando, FL 32817-4819
Phone (689) 808-0072

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

State licenses

LicenseStateTypeSpecialty
BACB1064726FLMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Kids Connection Inc CurrentSince Oct 27, 2024 Accepting new patients

Locations

1300 E Michigan St
Ste B
Orlando, FL 32806
Phone (407) 488-6898

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1902627938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 WILLOWEMAC CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174819",
            "telephone_number": "689-808-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MICHIGAN ST STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064815",
            "telephone_number": "407-488-6898",
            "fax_number": "407-988-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO AVILA",
        "first_name": "GABRIELA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "BACB1064726",
            "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 Oct 22, 2024; 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.