Individual provider · Type 1 NPI

Gabrielle J. Antillon

Peer Specialist · Moreno Valley, CA

NPI number 1972259422 Active

Practice location

13800 Heacock St Ste C220
Moreno Valley, CA 92553-3363

Fax (951) 653-1815

Specialties and licenses

Taxonomy	Code	License
Peer Specialist Primary	175T00000X	None listed
Community Health Worker	172V00000X	None listed
Case Manager/Care Coordinator	171M00000X	None listed
Behavior Technician	106S00000X	None listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1972259422

Gabrielle J. Antillon's National Provider Identifier is 1972259422, issued on Feb 23, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Oct 23, 2024.