Healthcare Provider Details

I. General information

NPI: 1972146942
Provider Name (Legal Business Name): GABRIELA D CANALS MORLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2019
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15604 SW 16TH ST
MIAMI FL
33185-5850
US

IV. Provider business mailing address

15604 SW 16TH ST
MIAMI FL
33185-5850
US

V. Phone/Fax

Practice location:
  • Phone: 786-278-7271
  • Fax:
Mailing address:
  • Phone: 786-278-7271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2845406
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: