Stephanie Gordillo-Gomez

NPI #1477020261 in N Hollywood, California

Provider Information

NPI Number: 1477020261
Entity Type: Individual
Name: Stephanie Gordillo-Gomez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 30, 2018
Last Updated: Oct 30, 2018

Practice Location

Address: 5352 LAUREL CANYON BLVD STE 100
City: N Hollywood
State: California
ZIP Code: 91607-4923
Phone: (747) 254-1154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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