Gabrielle Bauzon

Individual provider Active NPI Behavior Technician · Hercules, CA

NPI 1881471928 · NPPES record last updated Sep 12, 2023

Key facts

NPI
1881471928
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
500 Alfred Nobel Dr Ste 275
Hercules, CA 94547-1838
Phone
(510) 230-5007
NPI assigned
Sep 12, 2023
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

500 Alfred Nobel Dr Ste 275
Hercules, CA 94547-1838

Mailing address

910 28TH St
Richmond, CA 94804-1302
Phone (510) 990-4729

Other providers in Hercules, CA

All providers in Hercules, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.