Healthcare Provider Details
I. General information
NPI: 1457625543
Provider Name (Legal Business Name): GABRIELLE BARRIENTOS M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/07/2012
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2708 NE 14TH ST. SUITE 5 BUTTERFLY EFFECTS
POMPANO BEACH FL
33062
US
IV. Provider business mailing address
362 ABNER CT APT D
OCEANSIDE CA
92058-7511
US
V. Phone/Fax
- Phone: 888-880-9270
- Fax:
- Phone: 609-477-9011
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: