MEDICARE: GABRIELA ZARATE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1508799966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA ZARATE

Provider Business Mailing Address
First Line	:	3639 JIREH DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38128-5256
Country	:	US
Telephone Number	:
Fax Number	:	901-370-3289

Provider Business Practice Location Address
First Line	:	4988 FAIRFIELD CIR S
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4210
Country	:	US
Telephone Number	:	901-827-1114
Fax Number	:	901-370-3289

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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