Healthcare Provider Details

I. General information

NPI: 1750200408
Provider Name (Legal Business Name): GISSELLE SANCHEZ AGUIRRE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5080 CALIFORNIA AVE STE 250
BAKERSFIELD CA
93309-0732
US

IV. Provider business mailing address

2601 EDMONTON ST APT 5A
BAKERSFIELD CA
93309-5879
US

V. Phone/Fax

Practice location:
  • Phone: 661-258-3240
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: