Healthcare Provider Details

I. General information

NPI: 1851290316
Provider Name (Legal Business Name): GABRIEL URQUIZU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2026
Last Update Date: 11/02/2026
Certification Date: 11/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 RICHARD DR
FLANDERS NJ
07836-9757
US

IV. Provider business mailing address

24 ROCKWOOD DR
ROCKAWAY NJ
07866-4117
US

V. Phone/Fax

Practice location:
  • Phone: 973-715-6428
  • Fax:
Mailing address:
  • Phone: 973-715-6428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: