Healthcare Provider Details

I. General information

NPI: 1508514134
Provider Name (Legal Business Name): GILMA FARINA BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 THERMOS AVE UNIT 3
NORWICH CT
06360-6962
US

IV. Provider business mailing address

103 THERMOS AVE UNIT 3
NORWICH CT
06360-6962
US

V. Phone/Fax

Practice location:
  • Phone: 786-740-0024
  • Fax:
Mailing address:
  • Phone: 786-740-0024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-73086
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: