Healthcare Provider Details

I. General information

NPI: 1881218238
Provider Name (Legal Business Name): GISELLE CALERO PEREZ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4684 SW 164TH PL
MIAMI FL
33185-5268
US

IV. Provider business mailing address

4684 SW 164TH PL
MIAMI FL
33185-5268
US

V. Phone/Fax

Practice location:
  • Phone: 786-486-3365
  • Fax:
Mailing address:
  • Phone: 786-486-3365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number20-1580-212222
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-20-11375
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-50697
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: