Provider Demographics
NPI:1104683440
Name:GEA MOLINER, GABRIELA MARIA (RBT)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:MARIA
Last Name:GEA MOLINER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 SW 29TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2832
Mailing Address - Country:US
Mailing Address - Phone:786-299-1076
Mailing Address - Fax:
Practice Address - Street 1:633 SW 29TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2832
Practice Address - Country:US
Practice Address - Phone:786-299-1076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty