MEDICARE: HANDS ON BEHAVIOR LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053076513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS ON BEHAVIOR LLC

Provider Business Mailing Address
First Line	:	1817 CRESCENT BLVD STE 2
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-4619
Country	:	US
Telephone Number	:	352-890-3450
Fax Number	:

Provider Business Practice Location Address
First Line	:	1817 CRESCENT BLVD STE 2
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-4619
Country	:	US
Telephone Number	:	352-890-3450
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. LEISY GONZALEZ
Credential	:	ADMINSTRATOR
Telephone Number	:	352-890-3450

Provider Enumeration Date	:	11/01/2021
Last Update Date	:	02/11/2026

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Directions to “HANDS ON BEHAVIOR LLC ” Practice Location

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