Luis Gin
Individual provider Active NPI Behavior Technician · Heber, CA
NPI 1104795376 · NPPES record last updated Nov 4, 2025
Key facts
- NPI
- 1104795376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 15 W Hawk St Apt 105
Heber, CA 92249-9813 - Phone
- (323) 471-8186
- NPI assigned
- Nov 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
15 W Hawk St Apt 105
Heber, CA 92249-9813
Mailing address
15 W Hawk St Apt 105
Heber, CA 92249-9813
Other providers in Heber, CA
- Itzhara Atai Carreno
- Melanie Lizbeth Estrada
- Kayla Finnell
- Dennise Frazier
- Sherlyn A Garcia
- Blue Mary Guerra
- Edgar Alexis Guerrero
- Heber Elementary School District
- Aelynn Stephanie Hernandez
- Gabriela Hernandez
All providers in Heber, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.