Most Relevant Information
Provider Data
| NPI Number: | 1003525346 |
| Provider Name: | GABRIELA SAN JUAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/15/2022 |
| Last Updated: | 11/15/2022 |
Provider Practice Location
1200 S FIGUEROA ST
LOS ANGELES
CA
900151392
Practice Location Phone/Fax
| Phone: | 4242725238 |
| Fax: |
Provider Mailing Location
13428 MAXELLA AVE STE 913
MARINA DEL REY
CA
902925620
Provider Mailing Phone/Fax
| Phone: | 4242725238 |
| Fax: |