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Hailey Gravelle

Behavior Technician in San Juan Capistrano, CA. Individual provider (NPI-1).

NPI number1669901674
StatusActive
Last updated in NPPESJun 5, 2017

Details

NPI
1669901674
Entity type
Individual (NPI-1)
Name
Hailey Gravelle
Sex
Female
Sole proprietor
No
Enumeration date
Jun 5, 2017
Last updated
Jun 5, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-17-33534–Yes

Practice location

29122 Rancho Viejo Rd Ste 206
San Juan Capistrano, CA 92675-1039

Phone 949-388-7886

Mailing address

29122 Rancho Viejo Rd Ste 206
San Juan Capistrano, CA 92675-1039

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Other Behavior Technician providers in San Juan Capistrano, CA

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