Gabriela A Irias

Individual provider Active NPI Behavior Technician · N Hollywood, CA

NPI 1225500697 · NPPES record last updated Dec 26, 2018

Key facts

NPI
1225500697
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5352 Laurel Canyon Blvd Ste 100
N Hollywood, CA 91607-4923
Phone
(747) 254-1154
NPI assigned
Dec 26, 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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5352 Laurel Canyon Blvd Ste 100
N Hollywood, CA 91607-4923

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in N Hollywood, CA

All providers in N Hollywood, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.