Irene B Bambico, BA
Behavior Technician in San Gabriel, CA. Individual provider (NPI-1).
NPI number1760083091
StatusActive
Last updated in NPPESNov 3, 2020
Details
- NPI
- 1760083091
- Entity type
- Individual (NPI-1)
- Name
- Irene B Bambico
- Credential
- BA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2020
- Certification date
- Oct 21, 2020
- Last updated
- Nov 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9060 Huntington DrSan Gabriel, CA 91775-1332
Phone 626-943-7772
Mailing address
9060 Huntington DrSan Gabriel, CA 91775-1332
Phone 626-943-7772
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All 75 Behavior Technician providers in San Gabriel · All 1,180 providers in San Gabriel
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