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Gustavo Avila

Behavior Technician in Hesperia, CA. Individual provider (NPI-1).

NPI number1578288767
StatusActive
Last updated in NPPESNov 30, 2024

Details

NPI
1578288767
Entity type
Individual (NPI-1)
Name
Gustavo Avila
Sex
Male
Sole proprietor
No
Enumeration date
Oct 10, 2022
Certification date
Nov 30, 2024
Last updated
Nov 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

9390 Hesperia Rd Ste 2
Hesperia, CA 92345-3636

Phone 800-207-0272

Mailing address

1301 E Orangewood Ave
Anaheim, CA 92805-6807

Other practice locations

4950 San Bernardino St Ste 101
Montclair, CA 91763-2328

Phone 800-249-1266

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