Individual provider · Type 1 NPI

Octavio Vergara

Behavior Technician · Gardena, CA

NPI number 1760350128 Active

Practice location

1411 W 190th St
Gardena, CA 90248-4324

Call (310) 719-3908 Map

Mailing address

1441 S Hope St Apt 409
Los Angeles, CA 90015-2965

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-446472 (CA)

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 1760350128

Octavio Vergara's National Provider Identifier is 1760350128, issued on Oct 28, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Gardena, CA. The record was last updated on Oct 30, 2025.