MEDICARE: GABRIELLA ANN MORAN BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst	1-20-46835	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063925956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLA ANN MORAN BCBA

Provider Business Mailing Address
First Line	:	15501 CONWAY PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-1564
Country	:	US
Telephone Number	:	786-239-6409
Fax Number	:

Provider Business Practice Location Address
First Line	:	7037 CHATSWORTH ST
Second Line	:	UNIT 102
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344
Country	:	US
Telephone Number	:	747-238-6868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2017
Last Update Date	:	05/27/2026

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