Healthcare Provider Details

I. General information

NPI: 1497646061
Provider Name (Legal Business Name): ANAYLIN GIL ORTIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2590 W 60TH PL
HIALEAH FL
33016-6321
US

IV. Provider business mailing address

2590 W 60TH PL
HIALEAH FL
33016-6321
US

V. Phone/Fax

Practice location:
  • Phone: 786-296-4944
  • Fax:
Mailing address:
  • Phone: 786-296-4944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberG463000919470
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberBACB1348564
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: