NPI 1073018255 · live from the CMS NPI Registry
Gabriel Andres
Behavior Analyst in Oak Park, IL. National Provider Identifier 1073018255, active.
NPI record
| NPI | 1073018255 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6930 Roosevelt Rd, Oak Park, IL 60304 |
| Practice phone | 708-358-3000 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | March 28, 2018 |
| Last updated | March 28, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.