Most Relevant Information
Provider Data
| NPI Number: | 1003425778 |
| Provider Name: | GABRIELLA MARIA NOYOLA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/28/2020 |
| Last Updated: | 07/28/2020 |
Provider Practice Location
615 S DIVISION ST STE A
MOSES LAKE
WA
988373800
Practice Location Phone/Fax
| Phone: | 5097646644 |
| Fax: | 5097646676 |
Provider Mailing Location
615 S DIVISION ST STE A
MOSES LAKE
WA
988373800
Provider Mailing Phone/Fax
| Phone: | 5097646644 |
| Fax: | 5097646676 |