Healthcare Provider Details

I. General information

NPI: 1104353564
Provider Name (Legal Business Name): GABRIELLA PINATO BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2017
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2570 W ALTA VISTA RD
PHOENIX AZ
85041-5330
US

IV. Provider business mailing address

2570 W ALTA VISTA RD
PHOENIX AZ
85041-5330
US

V. Phone/Fax

Practice location:
  • Phone: 385-333-6035
  • Fax:
Mailing address:
  • Phone: 385-333-6035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBEH-001233
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: