Molly Gamboa, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

14675 Midway Rd
Addison, TX 75001-3170

Phone

(903) 630-7077

NPI assigned

Nov 14, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1013552066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E SOUTH TOWN DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14675 MIDWAY RD",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013170",
            "telephone_number": "903-630-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "MOLLY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quintrella Quinte' Gahagan, LPC INTERN
• Katie Ann Gallegos, FNP-C
• Megan Rutherford Gallman
• Gambino Eye Associates, Inc.
• Michel Joseph Gambino III, O. D.
• Felicia Brie Garcia, OTR
• Jacqueline Sara Garcia, M.S., SLP - INTERN
• Miranda Garcia, D.C.
• Laura Garison, LPC
• Gateway of Hope Social Service Inc

• Behavior Analyst in Addison, TX
• Providers in Addison, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.