Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Bacallao Gardeazab

Individual provider Behavior Technician · NPI 1578457198

Bryan Bacallao Gardeazab is a Behavior Technician in Hialeah, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

3375 W 76th St Apt 223
Hialeah, FL 33018-1777
Phone: (786) 348-3461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 25-432675 (FL)

Record details

NPI number1578457198
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 6, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address3375 W 76th St Apt 223, Hialeah, FL 33018-1777

Other providers in Hialeah