MEDICARE: DEBBIE F GALE

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	0-08-2623	FL
2	222Q00000X	Developmental Therapist

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	:	1972646537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBBIE F GALE

Provider Business Mailing Address
First Line	:	2172 CAPE HEATHER CIR
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-3513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2172 CAPE HEATHER CIR
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-3513
Country	:	US
Telephone Number	:	239-839-0816
Fax Number	:

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	02/19/2014

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Directions to “ DEBBIE F GALE ” Practice Location

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