Healthcare Provider Details

I. General information

NPI: 1649053679
Provider Name (Legal Business Name): GABRIELA MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8658 NW 1ST LN
MIAMI FL
33126-8333
US

IV. Provider business mailing address

8658 NW 1ST LN
MIAMI FL
33126-8333
US

V. Phone/Fax

Practice location:
  • Phone: 786-241-7666
  • Fax:
Mailing address:
  • Phone: 786-241-7666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-2855374
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-286942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: