Wallace, Gaybriell

Wallace, Gaybriell is an sole proprietor health care provider with primary practice located at 2679 Annapolis Circle , San Bernardino CA 92408. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wallace, Gaybriell can be contacted via phone (909) 435-8912.

Contact Information

Primary practice address
2679 Annapolis Circle San Bernardino CA 92408
Phone: (909) 435-8912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1184142705
LBN Legal business name Wallace, Gaybriell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2017
Last updated Sep 4th, 2017 - about 7 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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