Gabrielle Baldwin

Individual provider Active NPI Behavior Technician · Wilsonville, OR

NPI 1306434451 · NPPES record last updated Jan 5, 2021

Key facts

NPI
1306434451
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
29174 SW Town Center Loop W Ste 101
Wilsonville, OR 97070-9309
Phone
(971) 252-6155
NPI assigned
Jan 5, 2021
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 OR Yes

Addresses

Primary practice location

29174 SW Town Center Loop W Ste 101
Wilsonville, OR 97070-9309

Mailing address

21600 Oxnard St
Woodland Hills, CA 91367-4976
Phone (818) 345-2345

Other providers in Wilsonville, OR

All providers in Wilsonville, OR · Behavior Technician in Oregon

Sources for this page

Verify at the official NPI Registry.