Most Relevant Information
Provider Data
| NPI Number: | 1003305830 |
| Provider Name: | CARLA GAVILANES |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2018 |
| Last Updated: | 09/25/2018 |
Provider Practice Location
2631 MERRICK RD
BELLMORE
NY
117105730
Practice Location Phone/Fax
| Phone: | 5165907575 |
| Fax: |
Provider Mailing Location
8548 148TH ST
BRIARWOOD
NY
114352832
Provider Mailing Phone/Fax
| Phone: | 3474843587 |
| Fax: |