Provider Demographics
NPI:1689432452
Name:PEREZ MONTERO, GABRIELA DE LA CARIDAD
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:DE LA CARIDAD
Last Name:PEREZ MONTERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20631 NW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3474
Mailing Address - Country:US
Mailing Address - Phone:754-236-5537
Mailing Address - Fax:
Practice Address - Street 1:20631 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-3474
Practice Address - Country:US
Practice Address - Phone:754-236-5537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-24332095106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician