MEDICARE: PAOLA ZAYAS GARCIA BCBA

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	1-26-89893	FL

General Provider Information

NPI Number	:	1649109935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAOLA ZAYAS GARCIA BCBA

Provider Business Mailing Address
First Line	:	12425 HAMMOCK POINTE CIR
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-8089
Country	:	US
Telephone Number	:	860-801-3334
Fax Number	:

Provider Business Practice Location Address
First Line	:	12425 HAMMOCK POINTE CIR
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-8089
Country	:	US
Telephone Number	:	860-801-3334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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