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General NPI Number Information
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NPI Number | 1225966187
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Entity Type | Individual
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Provider Name | GABRIELLE LEA GRAHAM
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Gender | Female
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 1100 W TOWN AND COUNTRY RD STE 1225
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City | ORANGE
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State | CA
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Zip | 92868-4638
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Country | US
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Telephone | 657-565-3259
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Fax |
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Provider Business Mailing Address
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Address Line | 1231 S SUNBURST WAY APT A
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City | ANAHEIM
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State | CA
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Zip | 92806-5431
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Country | US
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Telephone | 714-900-8190
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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