Healthcare Provider Details

I. General information

NPI: 1407321995
Provider Name (Legal Business Name): JOSSELYN GUTIERREZ CHAVARRIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2018
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E ROMIE LN STE E
SALINAS CA
93901-4031
US

IV. Provider business mailing address

121 W ROMIE LN APT 8
SALINAS CA
93901-2331
US

V. Phone/Fax

Practice location:
  • Phone: 831-244-0582
  • Fax:
Mailing address:
  • Phone: 831-229-9808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-76369
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: