Gabrielle J Antillon
Gabrielle J Antillon is a Peer Specialist in Moreno Valley, California. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 4
Practice location Address checks out
13800 Heacock St Ste C220Moreno Valley, CA 92553-3363
Phone: (951) 653-1800
Fax: (951) 653-1815
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1972259422 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 23, 2022 |
| Last updated in NPPES | October 23, 2024 |
| Certification date | October 23, 2024 |
| Mailing address | 13800 Heacock St Ste C220, Moreno Valley, CA 92553-3363 |
Other providers in Moreno Valley
-
Mrs. Isidra Bowie
22445 Alessandro Blvd # 113-114, Moreno Valley, CA 92553-8358 · (951) 924-9791