IndividualActive
Julietta Gamboa
NPI 1104639715 · Behavior Technician · Tyrone, GA
Julietta Gamboa is a Behavior Technician provider in Tyrone, GA (NPI 1104639715).
Provider details
- NPI number
- 1104639715
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 Handley Rd Ste 410
Tyrone, GA 30290-2174
Phone: (770) 629-4660
Street-level locationGet directions
Mailing address
251 Mann Rd
Tyrone, GA 30290-1514
Registry dates
- Enumerated
- 2025-01-28
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Frequently asked questions
- What is Julietta Gamboa's NPI number?
- Julietta Gamboa's National Provider Identifier (NPI) is 1104639715, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Julietta Gamboa's specialty?
- Julietta Gamboa is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Julietta Gamboa located?
- Julietta Gamboa's practice location on file with NPPES is 120 Handley Rd Ste 410, Tyrone, GA 30290-2174.
- What is Julietta Gamboa's phone number?
- The practice phone number listed in the NPPES registry for Julietta Gamboa is (770) 629-4660.
- Is Julietta Gamboa's NPI active?
- Yes — Julietta Gamboa's NPI (1104639715) is active in the NPPES registry as of the last update on 2025-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.