Healthcare Provider Details

I. General information

NPI: 1518829779
Provider Name (Legal Business Name): RAFFAELLA DE LA CONSOLACION ZAPPAROLI OVALLES AA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 HUGHEY ST
KISSIMMEE FL
34741-5626
US

IV. Provider business mailing address

1792 CAYMAN COVE CIR
SAINT CLOUD FL
34772-7105
US

V. Phone/Fax

Practice location:
  • Phone: 407-907-5172
  • Fax:
Mailing address:
  • Phone: 407-738-2129
  • Fax: 407-738-2129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-488918
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: