EDIELY QUIROS GAETAN
NPI 1831618107
Behavior Analyst in Orange Park, FL

Q: What is Ediely Quiros Gaetan's NPI number?

The NPI number for Ediely Quiros Gaetan is 1831618107. It was assigned to this individual provider in the NPPES registry on September 18, 2017. The provider is also known as Ediely Quiros.

Q: What is Ediely Quiros Gaetan's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since September 18, 2017

782 FOXRIDGE CENTER DR, ORANGE PARK, FL 32065(904) 538-0713(904) 538-0714 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Sep 18, 2017 (2 updates tracked since 2017).

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About Ediely Quiros Gaetan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDIELY QUIROS GAETAN (NPI 1831618107) is an individual behavior analyst provider in Orange Park, Florida, licensed in Florida (8665) and active in the NPI registry since September 2017. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1831618107

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameEDIELY QUIROS GAETAN

Location Address782 FOXRIDGE CENTER DROrange Park, FL 32065-5776

Mailing Address10175 Fortune Pkwy Unit 903Jacksonville, FL 32256-6755 · (904) 538-0713 · Fax (904) 538-0714

Phone(904) 538-0713

Fax(904) 538-0714

Sole ProprietorNo

Enumeration DateSeptember 18, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1831618107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 8665

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

782 FOXRIDGE CENTER DR, Orange Park, FL 32065

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Other Names 1

Former Name (1)Ediely Quiros

Secondary Practice Location 1

Location 16816 Southpoint Pkwy Ste 500Jacksonville, FL 32216-1702 · Phone (904) 538-0713 ext. 1120 · Fax (904) 538-0714

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KERRI S. LICINI MA, MAED., BCBA

Behavior Analyst