Healthcare Provider Details

I. General information

NPI: 1326973306
Provider Name (Legal Business Name): MIA BELLA GIL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 SW 3RD AVE APT 425
GAINESVILLE FL
32601-6306
US

IV. Provider business mailing address

1015 IBIS AVE
MIAMI SPRINGS FL
33166-3213
US

V. Phone/Fax

Practice location:
  • Phone: 786-769-1956
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: