IndividualActive
Aileen Ibanez
NPI 1144172933 · Behavior Technician · Gardena, CA
Provider details
- NPI number
- 1144172933
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1149 W 190th St Ste 2200
Gardena, CA 90248-4344
Phone: (310) 856-0800
Approximate (ZIP-level) locationGet directions
Mailing address
100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Registry dates
- Enumerated
- 2026-02-12
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.