Gabriella Marie Segura
Behavior Technician in Torrance, CA. Individual provider (NPI-1).
NPI number1124867072
StatusActive
Last updated in NPPESMay 21, 2024
Details
- NPI
- 1124867072
- Entity type
- Individual (NPI-1)
- Name
- Gabriella Marie Segura
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2024
- Certification date
- May 21, 2024
- Last updated
- May 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
21515 Hawthorne Blvd Unit Gl-100Torrance, CA 90503-6501
Phone 424-571-2618
Mailing address
25240 Tandem WayTorrance, CA 90505-6903
Phone 424-473-3490
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