MEDICARE: DESTINY GAXIOLA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1851187868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESTINY GAXIOLA

Provider Business Mailing Address
First Line	:	1043 W HAMILTON AVE
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-3815
Country	:	US
Telephone Number	:	442-258-2370
Fax Number	:

Provider Business Practice Location Address
First Line	:	1043 W HAMILTON AVE
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-3815
Country	:	US
Telephone Number	:	442-258-2370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2025
Last Update Date	:	04/16/2025

Similar Medicare Providers

1215401906 — PRINCESS KUKUA AHEDOR
Practice Location Address:

2100 GEORGE DIETER DR
EL PASO, TX
79936-3815

Practice Phone: 915-955-2238
Practice Fax:

1427866417 — VISHAL KAUSHIK SR.
Practice Location Address:

3815 BALDWIN AVE APT 5
EL MONTE, CA
91731-4700

Practice Phone: 615-562-2927
Practice Fax:

1902616907 — SOUL SPRING PSYCHIATRY PLLC
Practice Location Address:

2100 GEORGE DIETER DR
EL PASO, TX
79936-3815

Practice Phone: 704-340-4431
Practice Fax: 979-316-1851

1770384323 — EMMANUEL PERSONAL ASSISTANCE SERVICES LLC
Practice Location Address:

3815 BUCKNER ST STE A
EL PASO, TX
79925-1333

Practice Phone: 915-781-5421
Practice Fax:

1043034036 — DESERT MOBILITY EQUIPMENT LLC
Practice Location Address:

1531 FORD DR STE A
EL CENTRO, CA
92243-1602

Practice Phone: 760-389-7787
Practice Fax: 760-389-7907

1508584855 — JANET BUSTOS
Practice Location Address:

1295 W STATE ST
EL CENTRO, CA
92243-2845

Practice Phone: 442-265-1924
Practice Fax:

Directions to “ DESTINY GAXIOLA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.