Shelley Gupilan
Behavior Technician in Monrovia, CA. Individual provider (NPI-1).
NPI number1336782002
StatusActive
Last updated in NPPESOct 24, 2019
Details
- NPI
- 1336782002
- Entity type
- Individual (NPI-1)
- Name
- Shelley Gupilan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2019
- Last updated
- Oct 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
612 S Myrtle Ave Ste 100Monrovia, CA 91016-3406
Phone 626-472-8722
Mailing address
612 S Myrtle Ave Ste 100Monrovia, CA 91016-3406
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