Most Relevant Information
Provider Data
| NPI Number: | 1003418666 |
| Provider Name: | HEIDI MICHELLE GAHN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/09/2020 |
| Last Updated: | 11/09/2020 |
Provider Practice Location
4340 W POINT LOMA BLVD APT C
SAN DIEGO
CA
921071189
Practice Location Phone/Fax
| Phone: | 6193221845 |
| Fax: |
Provider Mailing Location
4340 W POINT LOMA BLVD APT C
SAN DIEGO
CA
921071189
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |