Individual
GABRIELLE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
700 S ROYAL POINCIANA BLVD STE 300, MIAMI SPRINGS, FL 33166-6667
(305) 668-9000
Mailing address
700 S ROYAL POINCIANA BLVD STE 300, MIAMI SPRINGS, FL 33166-6667
(305) 668-9000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019590800
—
FL
05
—
020316100
—
FL
Enumeration date
10/23/2014
Last updated
07/21/2022
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