MEDICARE: GABRIELLE ELISSE ORTECHO

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
1	106S00000X	Behavior Technician		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407639289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE ELISSE ORTECHO

Provider Business Mailing Address
First Line	:	1000 WOODCOCK RD STE 100A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-3511
Country	:	US
Telephone Number	:	407-550-8696
Fax Number	:	321-241-1171

Provider Business Practice Location Address
First Line	:	1000 WOODCOCK RD STE 100A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-3511
Country	:	US
Telephone Number	:	407-550-8696
Fax Number	:	321-241-1171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	08/16/2023

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Directions to “ GABRIELLE ELISSE ORTECHO ” Practice Location

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