Gabriel Omar Andrade
Behavior Technician in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1982431235
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1982431235
- Entity type
- Individual (NPI-1)
- Name
- Gabriel Omar Andrade
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2024
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1160 N Dutton Ave Ste 140Santa Rosa, CA 95401-4652
Phone 855-223-7123
Mailing address
Po Box 33568San Diego, CA 92163-3568
Phone 855-223-7123
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All 533 Behavior Technician providers in Santa Rosa · All 8,142 providers in Santa Rosa
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