NPI 1003489071

Matthew Edward Gesualdi

Practitioner Behavior Technician Orlando, FL

Practice location

Address: 13419 Madison Dock Rd, Orlando, FL 32828-9511
Phone: (407) 312-7316

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003489071
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2021
Record last updated: 19 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.