Most Relevant Information
Provider Data
| NPI Number: | 1003438680 |
| Provider Name: | MICHAELA ROSE GELBAUGH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2020 |
| Last Updated: | 05/18/2020 |
Provider Practice Location
10850 S US HIGHWAY 1 STE 2
PORT ST LUCIE
FL
349526407
Practice Location Phone/Fax
| Phone: | 7724630444 |
| Fax: |
Provider Mailing Location
10850 S US HIGHWAY 1 STE 2
PORT ST LUCIE
FL
349526407
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |