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Individual
GISELLE COSTALES
Active
Individual
GISELLE COSTALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH25111
FL
106S00000X
Behavior Technician
Primary
RBT-19-75429
FL
Other
Enumeration date
02/02/2018
Last updated
02/12/2026
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