Provider Demographics
NPI:1417347139
Name:NARANJO, GLADYS ROSA (BCBA)
Entity Type:Individual
Prefix:
First Name:GLADYS ROSA
Middle Name:
Last Name:NARANJO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13538 VILLAGE PARK DR
Mailing Address - Street 2:SUITE 145
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7698
Mailing Address - Country:US
Mailing Address - Phone:407-703-2948
Mailing Address - Fax:407-250-4833
Practice Address - Street 1:13538 VILLAGE PARK DR
Practice Address - Street 2:SUITE 145
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7698
Practice Address - Country:US
Practice Address - Phone:407-703-2948
Practice Address - Fax:407-250-4833
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-14-17442103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst