Healthcare Provider Details

I. General information

NPI: 1003771791
Provider Name (Legal Business Name): GABRIEL N/A STOKES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 W FIREWEED LN
ANCHORAGE AK
99503-2562
US

IV. Provider business mailing address

3240 GREENFIELD AVE
LOS ANGELES CA
90034-3018
US

V. Phone/Fax

Practice location:
  • Phone: 907-770-0862
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: