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Individual

GABRIELA PEINADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8669 HOLDER ST, BUENA PARK, CA 90620
(714) 821-3620
(714) 821-5683
Mailing address
8669 HOLDER ST, BUENA PARK, CA 90620
(714) 821-3620
(714) 821-5683

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-15-6463
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
952162129
TAX ID
CA
Enumeration date
04/28/2017
Last updated
04/28/2017
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