Individual ProviderGabriela VidalBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address9042 SW 142nd Ave Apt 219, Miami, FL 33186-1287(786) 470-5261PECOS EnrollmentBased on the most recent information from CMS, provider Gabriela Vidal does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1295288231Provider TypeIndividualFull NameVidal, GabrielaGenderFemaleSole ProprietorYesEnumeration Date7/26/2016Last Updated7/26/2016Contact InformationPractice LocationPractice Address9042 SW 142nd Ave Apt 219, Miami, FL 33186-1287Phone(786) 470-5261FaxUnlisted FaxMailing LocationMailing Address9042 SW 142nd Ave Apt 219, Miami, FL 33186-1287Phone(786) 470-5261FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseRBT-16-20196Florida