Healthcare Provider Details

I. General information

NPI: 1982373106
Provider Name (Legal Business Name): ANALU BRANDAO BARRETO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6965 PIAZZA GRANDE AVE # 20306
ORLANDO FL
32835-8779
US

IV. Provider business mailing address

6250 HAZELTINE NATIONAL DR STE 102
ORLANDO FL
32822-5102
US

V. Phone/Fax

Practice location:
  • Phone: 954-999-7048
  • Fax:
Mailing address:
  • Phone: 407-237-9955
  • Fax: 833-792-1182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-81208
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: