Provider Demographics
NPI:1205392495
Name:PAOLINI, GABRIELA (RBT)
Entity Type:Individual
Prefix:MS
First Name:GABRIELA
Middle Name:
Last Name:PAOLINI
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 1:8147 NW 108TH CT
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-6043
Mailing Address - Country:US
Mailing Address - Phone:954-600-7423
Mailing Address - Fax:
Practice Address - Street 1:8147 NW 108TH CT
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-6043
Practice Address - Country:US
Practice Address - Phone:954-600-7423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-18-73515106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician