Provider Demographics
NPI:1194611897
Name:DAWS, GRICELDA GUADALUPE
Entity type:Individual
Prefix:MISS
First Name:GRICELDA
Middle Name:GUADALUPE
Last Name:DAWS
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 1:4180 W KEARNEY BLVD
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93706-2127
Mailing Address - Country:US
Mailing Address - Phone:559-652-0408
Mailing Address - Fax:
Practice Address - Street 1:2721 CESAR CHAVEZ BLVD STE 206
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-2369
Practice Address - Country:US
Practice Address - Phone:559-540-3770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician