Healthcare Provider Details

I. General information

NPI: 1962348318
Provider Name (Legal Business Name): VALERIA ACEVEDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 S ORANGE AVE
ORLANDO FL
32806-2944
US

IV. Provider business mailing address

10562 EASTPARK LAKE DR
ORLANDO FL
32832-5804
US

V. Phone/Fax

Practice location:
  • Phone: 689-208-5057
  • Fax: 407-650-7124
Mailing address:
  • Phone: 407-624-2614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: