Gaitan, Samuel Alexander

Gaitan, Samuel Alexander is an sole proprietor health care provider with primary practice located at 1200 N Central Ave Ste 110 , Kissimmee FL 34741-4439. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Agencies / Early Intervention Provider Agency, Speech, Language and Hearing Service Providers / Speech-Language Assistant. Speech, Language and Hearing Service Providers / Speech-Language Assistant is his primary health care specialty. Gaitan, Samuel Alexander can be contacted via phone (407) 925-5623.

Contact Information

Primary practice address
1200 N Central Ave Ste 110 Kissimmee FL 34741-4439
Phone: (407) 925-5623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X

Profile Details

NPI number 1093332611
LBN Legal business name Gaitan, Samuel Alexander
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2020
Last updated May 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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