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NPI Code Detail

MEDICARE: GABRIELA MARISOL BENAVIDES

MEDICARE: GABRIELA MARISOL BENAVIDES
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 TechnicianAZ

General Provider Information

NPI Number : 1457216160
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA MARISOL BENAVIDES
Provider Business Mailing Address
First Line : 638 E BRIDAL VEIL FALLS RD
Second Line :
City : ORO VALLEY
State : AZ
Zip : 85755-1822
Country : US
Telephone Number : 806-300-2339
Fax Number :
Provider Business Practice Location Address
First Line : 1831 W ROSE GARDEN LN STE 4
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2725
Country : US
Telephone Number : 602-808-9912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ GABRIELA MARISOL BENAVIDES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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