Provider Demographics
NPI:1225865215
Name:BORTOT FRANCO, GABRIELA VIRGINIA
Entity type:Individual
Prefix:MRS
First Name:GABRIELA
Middle Name:VIRGINIA
Last Name:BORTOT FRANCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 OLIVE BRANCH RD APT 1309
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-7397
Mailing Address - Country:US
Mailing Address - Phone:239-658-4350
Mailing Address - Fax:
Practice Address - Street 1:4740 OLIVE BRANCH RD APT 1309
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-7397
Practice Address - Country:US
Practice Address - Phone:239-658-4350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-376433106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician