Individual provider · Type 1 NPI
Kenneth Jonavil P. Gamboa
Licensed Psychiatric Technician · Vacaville, CA
Practice location
7110 Steiger Hill Rd
Vacaville, CA 95688-9789
Mailing address
1806 Wood Duck Ct
American Canyon, CA 94503-3125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | 21-155551 (CA) |
| Licensed Psychiatric Technician Primary | 167G00000X | 40215 (CA) |
Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…
Other licensed psychiatric technician providers in Vacaville
About NPI 1841013885
Kenneth Jonavil P. Gamboa's National Provider Identifier is 1841013885, issued on Nov 7, 2024. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Vacaville, CA. The record was last updated on Nov 7, 2024.