Provider Demographics
NPI:1972146942
Name:CANALS MORLAN, GABRIELA DE LA CARIDAD (RBT-19-102465)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:DE LA CARIDAD
Last Name:CANALS MORLAN
Suffix:
Gender:F
Credentials:RBT-19-102465
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15604 SW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5850
Mailing Address - Country:US
Mailing Address - Phone:786-278-7271
Mailing Address - Fax:
Practice Address - Street 1:15604 SW 16TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5850
Practice Address - Country:US
Practice Address - Phone:786-278-7271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-19-102465106S00000X
FL0-24-15191106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician