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Gabriela Maria Antezana

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

NPI number1902407331
StatusActive
Last updated in NPPESNov 3, 2020

Details

NPI
1902407331
Entity type
Individual (NPI-1)
Name
Gabriela Maria Antezana
Sex
Female
Sole proprietor
No
Enumeration date
Nov 3, 2020
Certification date
Nov 3, 2020
Last updated
Nov 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3650 Mt Diablo Blvd Ste 107l
Lafayette, CA 94549-3780

Phone 510-665-9700

Mailing address

Po Box 399318
San Francisco, CA 94139-9318

Other practice locations

8 Tofflemire Dr
Lafayette, CA 94549-4947

Phone 925-876-5973

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