Individual ProviderGabryelle Rose Leilani KeanaainaBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address1171 Homestead Rd, Santa Clara, CA 95050-5478(408) 320-2590PECOS EnrollmentBased on the most recent information from CMS, provider Gabryelle Rose Leilani Keanaaina does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1609362995Provider TypeIndividualFull NameKeanaaina, Gabryelle Rose LeilaniTitleMs.GenderFemaleSole ProprietorYesEnumeration Date7/10/2018Last Updated7/10/2018Contact InformationPractice LocationPractice Address1171 Homestead Rd, Santa Clara, CA 95050-5478Phone(408) 320-2590FaxUnlisted FaxMailing LocationMailing Address1171 Homestead Rd, Santa Clara, CA 95050-5478Phone(408) 320-2590FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer