Provider Demographics
NPI:1568245868
Name:GABRIEL, PATTY (BT)
Entity Type:Individual
Prefix:
First Name:PATTY
Middle Name:
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 LOCK RD APT 94
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-3661
Mailing Address - Country:US
Mailing Address - Phone:561-809-4034
Mailing Address - Fax:
Practice Address - Street 1:730 LOCK RD APT 94
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-3661
Practice Address - Country:US
Practice Address - Phone:561-809-4034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician