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NPI Code Detail

MEDICARE: GABRIEL CONTRERAS RBT, MA

MEDICARE: GABRIEL CONTRERAS RBT, MA
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 TechnicianRBT-16-13845CA

General Provider Information

NPI Number : 1841708286
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIEL CONTRERAS RBT, MA
Provider Business Mailing Address
First Line : 2625 TOWNSGATE RD STE 102
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-5726
Country : US
Telephone Number : 805-413-3009
Fax Number : 805-413-4462
Provider Business Practice Location Address
First Line : 2625 TOWNSGATE RD STE 102
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-5726
Country : US
Telephone Number : 805-413-3009
Fax Number : 805-413-4462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2018
Last Update Date : 05/21/2024

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