Provider Demographics
NPI:1720637697
Name:CIAMPI, GABRIELA FRINETT
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:FRINETT
Last Name:CIAMPI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 W COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-3436
Mailing Address - Country:US
Mailing Address - Phone:407-799-1978
Mailing Address - Fax:
Practice Address - Street 1:2208 W COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-3436
Practice Address - Country:US
Practice Address - Phone:407-799-1978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB478584106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician