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General NPI Number Information
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NPI Number | 1306354253
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Entity Type | Individual
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Provider Name | GABRIELLA HERNANDEZ BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 3336 BRADSHAW RD STE 140
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City | SACRAMENTO
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State | CA
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Zip | 95827-2697
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Country | US
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Telephone | 916-245-4133
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Fax | 855-568-2494
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Provider Business Mailing Address
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Address Line | 18726 S WESTERN AVE
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City | GARDENA
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State | CA
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Zip | 90248-3813
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Country | US
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Telephone | 310-856-0800
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Fax | 855-568-2494
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-20-42143
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License Number State | CA
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