MEDICARE: JARENICE BRAVO

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

General Provider Information

NPI Number	:	1861885576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARENICE BRAVO

Provider Business Mailing Address
First Line	:	1052 FOUNTAIN COIN LOOP
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-5001
Country	:	US
Telephone Number	:	407-501-0834
Fax Number	:

Provider Business Practice Location Address
First Line	:	1052 FOUNTAIN COIN LOOP FL 32828
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-5001
Country	:	US
Telephone Number	:	407-501-0834
Fax Number	:

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

Provider Enumeration Date	:	03/05/2015
Last Update Date	:	04/07/2025

Similar Medicare Providers

1356209092 — MS. JACKLINE AWINO OKUMU PMHNP
Practice Location Address:

1012 FOUNTAIN COIN LOOP
ORLANDO, FL
32828-5001

Practice Phone: 689-688-1465
Practice Fax:

1376414250 — BRYANNA DANIELLE VIZCARRA RMHCI
Practice Location Address:

11537 LAKE UNDERHILL RD
ORLANDO, FL
32825-5001

Practice Phone: 407-821-3098
Practice Fax:

1518834845 — EMILY EISELE
Practice Location Address:

11537 LAKE UNDERHILL RD
ORLANDO, FL
32825-5001

Practice Phone: 407-821-3098
Practice Fax:

1750503249 — AMY LYNN TAGYE OT
Practice Location Address:

11543 LAKE UNDERHILL RD
ORLANDO, FL
32825-5001

Practice Phone: 407-380-0357
Practice Fax: 407-380-0342

1407026289 — DR. JAMEE J FIKE D.C.
Practice Location Address:

11547 LAKE UNDERHILL RD
ORLANDO, FL
32825-5001

Practice Phone: 407-203-6745
Practice Fax: 407-442-0521

1396070710 — MRS. MELISSA SCHUBERT P.T.
Practice Location Address:

11543 LAKE UNDERHILL RD
ORLANDO, FL
32825-5001

Practice Phone: 407-380-0357
Practice Fax:

Directions to “ JARENICE BRAVO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.