MEDICARE: NATALEE JOLIEN QUIRINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1134056740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALEE JOLIEN QUIRINO

Provider Business Mailing Address
First Line	:	18726 S WESTERN AVE
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90248-3813
Country	:	US
Telephone Number	:	310-856-2494
Fax Number	:	855-568-0800

Provider Business Practice Location Address
First Line	:	540 OAK CENTRE DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-3936
Country	:	US
Telephone Number	:	210-761-3504
Fax Number	:	855-568-2494

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “ NATALEE JOLIEN QUIRINO ” Practice Location

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