NPI 1104471374

Gabrielle Marie Phillips

Practitioner Assistant Behavior Analyst San Jose, CA

Practice location

Address: 3610 Snell Ave, San Jose, CA 95136-1305
Phone: (408) 618-5265

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence F2065408 (CA)

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Registry record

NPI: 1104471374
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2019
Record last updated: 5 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.