Healthcare Provider Details

I. General information

NPI: 1407727167
Provider Name (Legal Business Name): CHEYLA CUENCAS GARBEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 W VINE ST STE 124
KISSIMMEE FL
34741-4660
US

IV. Provider business mailing address

217 W BUCHANON AVE
ORLANDO FL
32809-4939
US

V. Phone/Fax

Practice location:
  • Phone: 407-483-3074
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberRBT-25-464419
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: