Healthcare Provider Details

I. General information

NPI: 1912866088
Provider Name (Legal Business Name): MARIZ GALANG SAN SEBASTIAN BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 ZAMORA PL
OVIEDO FL
32765-7282
US

IV. Provider business mailing address

68 ZAMORA PL
OVIEDO FL
32765-7282
US

V. Phone/Fax

Practice location:
  • Phone: 689-307-7322
  • Fax:
Mailing address:
  • Phone: 689-307-7322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number11-26-2831577
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: