Individual provider · Type 1 NPI

Julietta Avila Gamboa

Behavior Technician · Tyrone, GA

NPI number 1104639715 Active

Practice location

120 Handley Rd Ste 410
Tyrone, GA 30290-2174

Call (770) 629-4660 Map

Mailing address

251 Mann Rd
Tyrone, GA 30290-1514

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1104639715

Julietta Avila Gamboa's National Provider Identifier is 1104639715, issued on Jan 28, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Tyrone, GA. The record was last updated on Jan 28, 2025.