Healthcare Provider Details

I. General information

NPI: 1063374882
Provider Name (Legal Business Name): MARLEN PLACERES GAUBECA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 SE SHEILA DR
ARCADIA FL
34266-1210
US

IV. Provider business mailing address

1640 SE SHEILA DR
ARCADIA FL
34266-1210
US

V. Phone/Fax

Practice location:
  • Phone: 713-591-5387
  • Fax:
Mailing address:
  • Phone: 713-591-5387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: