David Robert Gaetz
Behavior Technician in Eustis, FL. Individual provider (NPI-1).
NPI number1982113189
StatusActive
Last updated in NPPESMay 25, 2022
Details
- NPI
- 1982113189
- Entity type
- Individual (NPI-1)
- Name
- David Robert Gaetz
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2017
- Certification date
- May 25, 2022
- Last updated
- May 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2785 S Bay St Ste AEustis, FL 32726-6591
Phone 844-668-6222 · Fax 888-975-0599
Mailing address
Po Box 963Mount Dora, FL 32756-0963
Phone 844-668-6222 · Fax 888-975-0599
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All 124 Behavior Technician providers in Eustis · All 742 providers in Eustis
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