Provider Demographics
NPI:1871013581
Name:SILVA, GISELLE SANDRA ROSALVOS (BCBA)
Entity type:Individual
Prefix:
First Name:GISELLE
Middle Name:SANDRA ROSALVOS
Last Name:SILVA
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4917 ELI ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-1717
Mailing Address - Country:US
Mailing Address - Phone:407-808-7837
Mailing Address - Fax:
Practice Address - Street 1:445 W OAK ST STE 435&445
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-6627
Practice Address - Country:US
Practice Address - Phone:407-219-0402
Practice Address - Fax:407-386-6987
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-23
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-20-41255103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty