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NPI Code Detail

MEDICARE: WENDOLYN NAVIL GONZALEZ- SANDOVAL

MEDICARE: WENDOLYN NAVIL GONZALEZ- SANDOVAL
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
2390200000XStudent in an Organized Health Care Education/Training ProgramCA
3103K00000XBehavior Analyst1-22-58436CA

General Provider Information

NPI Number : 1730566159
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDOLYN NAVIL GONZALEZ- SANDOVAL
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 20900 CORSAIR BLVD BLDG A
Second Line :
City : HAYWARD
State : CA
Zip : 94545-1002
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2015
Last Update Date : 05/27/2025

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Directions to “ WENDOLYN NAVIL GONZALEZ- SANDOVAL ” 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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