Healthcare Provider Details

I. General information

NPI: 1255235628
Provider Name (Legal Business Name): CLARIBEL M GAUD CABRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 NW 11TH AVE
FORT LAUDERDALE FL
33311-7124
US

IV. Provider business mailing address

953 CORAL CLUB DR
CORAL SPRINGS FL
33071-5650
US

V. Phone/Fax

Practice location:
  • Phone: 954-531-7198
  • Fax:
Mailing address:
  • Phone: 954-531-7198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number26-2853627
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: