Layla Iman Gardner
Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1104713841
StatusActive
Last updated in NPPESJun 23, 2025
Details
- NPI
- 1104713841
- Entity type
- Individual (NPI-1)
- Name
- Layla Iman Gardner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2025
- Certification date
- Jun 23, 2025
- Last updated
- Jun 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | w8699633 | CA | Yes |
Practice location
4401 Crenshaw Blvd Ste 215Los Angeles, CA 90043-1200
Phone 661-670-7462
Mailing address
4401 Crenshaw Blvd Ste 215Los Angeles, CA 90043-1200
Phone 661-670-7462 · Fax 661-670-7462
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