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NPI Code Detail

MEDICARE: GABRIEL ISAIAH GONZALEZ SOSA

MEDICARE: GABRIEL ISAIAH GONZALEZ SOSA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1326970526
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIEL ISAIAH GONZALEZ SOSA
Provider Business Mailing Address
First Line : 3300 N CENTRAL AVE STE 2500
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2505
Country : US
Telephone Number : 480-212-0825
Fax Number :
Provider Business Practice Location Address
First Line : 3300 N CENTRAL AVE STE 2500
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2505
Country : US
Telephone Number : 480-212-0825
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ GABRIEL ISAIAH GONZALEZ SOSA ” Practice Location

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