Provider Demographics
NPI:1043014483
Name:VALIENTE PEREZ, GISELLE (RBT)
Entity type:Individual
Prefix:
First Name:GISELLE
Middle Name:
Last Name:VALIENTE PEREZ
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 FORT CLARKE BLVD APT 4307
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-7197
Mailing Address - Country:US
Mailing Address - Phone:352-301-6477
Mailing Address - Fax:
Practice Address - Street 1:2912 SW 34TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-3364
Practice Address - Country:US
Practice Address - Phone:956-454-8539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician