Gustavo Avila
Individual provider Active NPI Behavior Technician · Hesperia, CA
NPI 1578288767 · NPPES record last updated Nov 30, 2024
Key facts
- NPI
- 1578288767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 9390 Hesperia Rd Ste 2
Hesperia, CA 92345-3636 - Phone
- (800) 207-0272
- NPI assigned
- Oct 10, 2022
- Sex
- Male
- 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
9390 Hesperia Rd Ste 2
Hesperia, CA 92345-3636
Mailing address
1301 E Orangewood Ave
Anaheim, CA 92805-6807
Other practice location 1
4950 San Bernardino St Ste 101
Montclair, CA 91763-2328
Phone (800) 249-1266
Other providers in Hesperia, CA
- Lynne K Arsenault
- Arvind Salwan,M.D.P.C.
- Shahram Askari
- Assess Medical Group, Inc.
- Daniel Avila
- Vaneza Avila
- Peter Awad
- Katherine Madai Ayala Rodriguez
- Alondra Marie Ayala
- Noel Ayala
All providers in Hesperia, 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 Nov 30, 2024. 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.