Healthcare Provider Details

I. General information

NPI: 1598687006
Provider Name (Legal Business Name): GABRIELLE ANN ANDRES MANLAPID
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7373 UNIVERSITY AVE STE 116
LA MESA CA
91942-0523
US

IV. Provider business mailing address

12087 WORLD TRADE DR UNIT 2
SAN DIEGO CA
92128-4682
US

V. Phone/Fax

Practice location:
  • Phone: 619-991-4499
  • Fax:
Mailing address:
  • Phone: 858-774-8173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-545942
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: