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
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.