NPI Profile for SAMUEL A GAITAN in KISSIMMEE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Speech-Language Assistant |
2355S0801X | |||
Behavior Technician |
106S00000X | |||
Developmental Therapist |
222Q00000X | |||
Early Intervention Provider Agency |
252Y00000X |
| NPI # | 1093332611 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/30/2020 | |
| Last updated | 05/16/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SAMUEL A GAITAN
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