Antillon, Gabrielle J

Antillon, Gabrielle J is an individual health care provider with primary practice located at 13800 Heacock St Ste C220 , Moreno Valley CA 92553-3363. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavior Technician. Other Service Providers / Peer Specialist is her primary health care specialty. Antillon, Gabrielle J can be contacted via phone (951) 653-1800.

Contact Information

Primary practice address
13800 Heacock St Ste C220 Moreno Valley CA 92553-3363
Phone: (951) 653-1800
Fax: (951) 653-1815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1972259422
LBN Legal business name Antillon, Gabrielle J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2022
Last updated Oct 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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