Gabryelle Angel
Individual provider Active NPI Behavior Analyst · Riverbank, CA
NPI 1144722927 · NPPES record last updated Feb 20, 2025
Key facts
- NPI
- 1144722927
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-22-63259 (CA)
- Practice address
- 5501 Antique Rose Way
Riverbank, CA 95367-9505 - Phone
- (866) 523-4268
- NPI assigned
- Mar 7, 2018
- 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 Analyst | 103K00000X | 1-22-63259 | CA | Yes |
Addresses
Primary practice location
5501 Antique Rose Way
Riverbank, CA 95367-9505
Mailing address
PO Box 5157
Modesto, CA 95352-5157
Other practice location 1
1115 14th St
Modesto, CA 95354-1003
Phone (209) 572-2589
Other providers in Riverbank, CA
- Tiffany Amo
- Katia Anaya Kruse
- Isabella Andersen
- David James Anderson
- Jasmyn Andry
- Valeria Anguiano Gomez
- Karina Angulo
- Chidera Aniche
- Karla Aniciete
- Laura Michelle Anthony
All providers in Riverbank, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2025. 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.