Stephanie Gamboa
Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1831982925
StatusActive
Last updated in NPPESMay 22, 2025
Details
- NPI
- 1831982925
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Gamboa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2025
- Certification date
- May 22, 2025
- Last updated
- May 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-323022 | CA | Yes |
Practice location
3280 Motor Ave Ste 110Los Angeles, CA 90034-3763
Phone 424-672-6700 · Fax 424-672-6819
Mailing address
119 W Torrance Blvd Ste 100Redondo Beach, CA 90277-3600
Phone 310-374-3300 · Fax 310-374-3307
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