MEDICARE: GHESSI HEALTHCARE SERVICES CORP

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1306610662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GHESSI HEALTHCARE SERVICES CORP

Provider Business Mailing Address
First Line	:	6701 JOHNSON ST APT 305
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-5756
Country	:	US
Telephone Number	:	786-616-3513
Fax Number	:

Provider Business Practice Location Address
First Line	:	6701 JOHNSON ST APT 305
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-5756
Country	:	US
Telephone Number	:	786-616-3513
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DANIELA GHESSI
Credential	:
Telephone Number	:	786-616-3513

Provider Enumeration Date	:	11/08/2023
Last Update Date	:	11/08/2023

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