Edlyn Angulo Gaxiola
Individual provider Active NPI Behavior Technician · Danville, CA
NPI 1023754173 · NPPES record last updated May 11, 2022
Key facts
- NPI
- 1023754173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4125 Blackhawk Plaza Cir Ste 230
Danville, CA 94506-4648 - Phone
- (844) 262-8466
- NPI assigned
- May 11, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
4125 Blackhawk Plaza Cir Ste 230
Danville, CA 94506-4648
Mailing address
4125 Blackhawk Plaza Cir Ste 230
Danville, CA 94506-4648
Phone (844) 262-8466
Other providers in Danville, CA
- Frederick Ryan Anderson
- Weston Louis Anderson
- Andrew L Nash, MD, a Medical Corporation
- Alexis Andujo
- Michael Margarito Angeles Jr.
- Anthony Lizano, DDS, Apc
- Richard Jerome Anthony
- Mercedes Antonini
- Amanda Elizabeth Apesos
- Sofia Karelle Apsey
All providers in Danville, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.