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NPI Code Detail

MEDICARE: MRS. GLENIAR FERNANDEZ CAMALLERE

MEDICARE: MRS. GLENIAR FERNANDEZ CAMALLERE
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
1103K00000XBehavior Analyst1-26-90039FL

General Provider Information

NPI Number : 1861262362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GLENIAR FERNANDEZ CAMALLERE
Provider Business Mailing Address
First Line : 5149 VISTA LAGO DR
Second Line :
City : ORLANDO
State : FL
Zip : 32811-8310
Country : US
Telephone Number : 407-984-8306
Fax Number :
Provider Business Practice Location Address
First Line : 730 SAND LAKE RD STE 176
Second Line :
City : ORLANDO
State : FL
Zip : 32809-7747
Country : US
Telephone Number : 407-214-5539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2024
Last Update Date : 05/18/2026

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Directions to “ MRS. GLENIAR FERNANDEZ CAMALLERE ” Practice Location

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