Healthcare Provider Details

I. General information

NPI: 1831482728
Provider Name (Legal Business Name): GABRIELA SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2011
Last Update Date: 04/01/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12240 SW 128TH CT STE 110
MIAMI FL
33186-4782
US

IV. Provider business mailing address

16521 SW 102ND PL
MIAMI FL
33157-3183
US

V. Phone/Fax

Practice location:
  • Phone: 305-562-4683
  • Fax:
Mailing address:
  • Phone: 786-283-1287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-12-5144
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-48133
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: