Provider Demographics
NPI:1649013913
Name:GAMEZ HURTADO, ANA ALEJANDRA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:ALEJANDRA
Last Name:GAMEZ HURTADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 ADAMS AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-2068
Mailing Address - Country:US
Mailing Address - Phone:760-332-9257
Mailing Address - Fax:
Practice Address - Street 1:870 ADAMS AVE APT 3
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-2068
Practice Address - Country:US
Practice Address - Phone:760-332-9257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst