Provider Demographics
NPI:1700409679
Name:GIL MILIAN, MEIBEL
Entity Type:Individual
Prefix:MS
First Name:MEIBEL
Middle Name:
Last Name:GIL MILIAN
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 1:7405 SW 152ND AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-2331
Mailing Address - Country:US
Mailing Address - Phone:786-571-0218
Mailing Address - Fax:
Practice Address - Street 1:7405 SW 152ND AVE APT 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-2331
Practice Address - Country:US
Practice Address - Phone:786-571-0218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-118069106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician