Healthcare Provider Details

I. General information

NPI: 1427891019
Provider Name (Legal Business Name): NAYLA GASCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NW 175TH TER
MIAMI GARDENS FL
33169-4670
US

IV. Provider business mailing address

6445 W 24TH AVE APT 14
HIALEAH FL
33016-3982
US

V. Phone/Fax

Practice location:
  • Phone: 305-799-7561
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: