Healthcare Provider Details

I. General information

NPI: 1508799966
Provider Name (Legal Business Name): GABRIELA ZARATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4988 FAIRFIELD CIR S
MEMPHIS TN
38117-4210
US

IV. Provider business mailing address

3639 JIREH DR
MEMPHIS TN
38128-5256
US

V. Phone/Fax

Practice location:
  • Phone: 901-827-1114
  • Fax: 901-370-3289
Mailing address:
  • Phone:
  • Fax: 901-370-3289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: