Individual provider · Type 1 NPI

Melissa Gradilla

Student in an Organized Health Care Education/Training Program · Ontario, CA

NPI number 1255916607 Active

Practice location

1556 S Sultana Ave
Ontario, CA 91761-4238

Call (909) 418-6923 Map

Mailing address

4688 Ontario Mills Pkwy
Ontario, CA 91764-5104

Other practice locations

  • 4688 Ontario Mills Pkwy, Ontario, CA 91764-5104 · (909) 474-5747

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Behavior Technician 106S00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255916607

Melissa Gradilla's National Provider Identifier is 1255916607, issued on Mar 16, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ontario, CA. The record was last updated on Aug 20, 2021.