Provider Demographics
NPI:1508759044
Name:MAYAN AGUILAR, GABRIEL ALEJANDRO (RBT)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:ALEJANDRO
Last Name:MAYAN AGUILAR
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 ALOMA AVE APT F7
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3725
Mailing Address - Country:US
Mailing Address - Phone:858-355-8784
Mailing Address - Fax:
Practice Address - Street 1:3840 SAINT JOHNS PKWY
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-6370
Practice Address - Country:US
Practice Address - Phone:407-756-2703
Practice Address - Fax:407-612-6174
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician