Individual
GABRIEL OLAZARRA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9260 SW 149TH CT, MIAMI, FL 33196-1675
(786) 343-2431
Mailing address
9260 SW 149TH CT, MIAMI, FL 33196-1675
(786) 343-2431
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-5239
FL
106S00000X
Behavior Technician
RBT-23-259660
FL
Other
Enumeration date
03/08/2023
Last updated
05/22/2024
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