Provider Demographics
NPI:1447763560
Name:MARCANO OCASIO, GISELLE YACHIRA (RBT)
Entity Type:Individual
Prefix:
First Name:GISELLE
Middle Name:YACHIRA
Last Name:MARCANO OCASIO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:GISELLE
Other - Middle Name:YACHIRA
Other - Last Name:MARCANO OCASIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:GISELLE MARCANO,RBT
Mailing Address - Street 1:14134 WALCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7465
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7550 FUTURES DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9095
Practice Address - Country:US
Practice Address - Phone:407-730-7983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-11
Last Update Date:2017-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor