Healthcare Provider Details

I. General information

NPI: 1083565931
Provider Name (Legal Business Name): GUSTAVE RECARDO DOWLING III BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3232 STONEGATE DR
OCOEE FL
34761-5111
US

IV. Provider business mailing address

3232 STONEGATE DR
OCOEE FL
34761-5111
US

V. Phone/Fax

Practice location:
  • Phone: 757-553-7098
  • Fax:
Mailing address:
  • Phone: 757-553-7098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-87071
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: