Gabriel Olazarra Blanco

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-24-5239 Issued in FL

Practice address

9260 SW 149TH CT
Miami, FL 33196-1675

Phone

(786) 343-2431

NPI assigned

Mar 8, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1033819073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 SW 149TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961675",
            "telephone_number": "786-343-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 SW 149TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961675",
            "telephone_number": "786-343-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAZARRA BLANCO",
        "first_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-24-5239",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-259660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Olazabal
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• Marlene Olazabal, MS
• Coral Olazagasti, MD
• Maria Felicita Olazagasti, PH
• Olc Design Corp
• Old Dominium, Inc
• Old Medical Supplies, Inc.
• Carolina Oldham, M.D.
• Oldin Pharmacy Inc

• Assistant Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.