Provider Demographics
NPI:1720860240
Name:MONNE, GAEL
Entity type:Individual
Prefix:
First Name:GAEL
Middle Name:
Last Name:MONNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16250 MINNEHAHA ST
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-6836
Mailing Address - Country:US
Mailing Address - Phone:818-698-5345
Mailing Address - Fax:
Practice Address - Street 1:2050 W CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2647
Practice Address - Country:US
Practice Address - Phone:949-989-6932
Practice Address - Fax:949-989-7608
Is Sole Proprietor?:No
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst