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NPI Code Detail

MEDICARE: ROBIN GABRIEL

MEDICARE: ROBIN GABRIEL
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1538506068
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN GABRIEL
Provider Business Mailing Address
First Line : 6150 TRANSVERSE DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1167
Country : US
Telephone Number : 702-815-0202
Fax Number : 702-586-6645
Provider Business Practice Location Address
First Line : 6150 TRANSVERSE DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1167
Country : US
Telephone Number : 702-815-0202
Fax Number : 702-586-6645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2013
Last Update Date : 05/23/2013

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