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NPI Code Detail

MEDICARE: PROF. THAIS GUTIERREZ ALAYO I

MEDICARE: PROF. THAIS GUTIERREZ ALAYO I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorFL
2106S00000XBehavior TechnicianRBT-25504551FL

General Provider Information

NPI Number : 1073395943
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. THAIS GUTIERREZ ALAYO I
Provider Business Mailing Address
First Line : 10012 VISTA LAGUNA DR APT 108
Second Line :
City : ORLANDO
State : FL
Zip : 32825-6147
Country : US
Telephone Number : 407-820-4890
Fax Number :
Provider Business Practice Location Address
First Line : 7448 ALOMA AVE STE 1
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-9171
Country : US
Telephone Number : 321-295-0315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2023
Last Update Date : 03/23/2026

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