MEDICARE: GLORIA E TREVINO REGISTERED BEHAVIOR

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1861745192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA E TREVINO REGISTERED BEHAVIOR

Provider Business Mailing Address
First Line	:	234 W CLEMMENS LN APT 38
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-4086
Country	:	US
Telephone Number	:	951-497-2970
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 S EL CAMINO REAL STE 220
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6376
Country	:	US
Telephone Number	:	619-782-0700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2012
Last Update Date	:	01/14/2026

Similar Medicare Providers

1649122623 — MADELYN GRACE KNOX
Practice Location Address:

2204 S EL CAMINO REAL STE 220
OCEANSIDE, CA
92054-6376

Practice Phone: 619-782-0700
Practice Fax:

1285135046 — TAYLOR NAKASE
Practice Location Address:

2204 S EL CAMINO REAL STE 220
OCEANSIDE, CA
92054-6376

Practice Phone: 619-782-0700
Practice Fax:

1740951300 — CATHERINE MARIE ALMANZA LMFT
Practice Location Address:

2204 S EL CAMINO REAL STE 305
OCEANSIDE, CA
92054-6376

Practice Phone: 760-306-3775
Practice Fax:

1053043158 — MS. CRYSTAL ELEXUS WASHINGTON
Practice Location Address:

2204 S EL CAMINO REAL STE 220
OCEANSIDE, CA
92054-6376

Practice Phone: 336-728-5642
Practice Fax:

1184320095 — MIRANDA COUNSELING & CONSULTING LICENSED CLINICAL SOCIAL WORKER, INC.
Practice Location Address:

2204 S EL CAMINO REAL STE 305
OCEANSIDE, CA
92054-6376

Practice Phone: 760-509-2360
Practice Fax:

1790560969 — BLAKE JOHNSON
Practice Location Address:

2204 S EL CAMINO REAL STE 225
OCEANSIDE, CA
92054-6376

Practice Phone: 858-755-5200
Practice Fax: 760-826-2525

Directions to “ GLORIA E TREVINO REGISTERED BEHAVIOR” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.