Healthcare Provider Details

I. General information

NPI: 1477234466
Provider Name (Legal Business Name): EMBRACE PATHWAYS ABA ORLANDO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14175 JOMATT LOOP
WINTER GARDEN FL
34787-0072
US

IV. Provider business mailing address

14175 JOMATT LOOP
WINTER GARDEN FL
34787-0072
US

V. Phone/Fax

Practice location:
  • Phone: 781-420-9953
  • Fax:
Mailing address:
  • Phone: 781-420-9953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: GABRIELA MELLO MUNIZ
Title or Position: CLINIC DIRECTOR
Credential:
Phone: 781-420-9953