Gloria Ambriz

Individual provider Active NPI Behavior Technician · Montclair, CA

NPI 1427634864 · NPPES record last updated Mar 23, 2021

Key facts

NPI
1427634864
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4950 San Bernardino St Ste 101
Montclair, CA 91763-2328
Phone
(800) 249-1266
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

4950 San Bernardino St Ste 101
Montclair, CA 91763-2328

Mailing address

1301 E Orangewood Ave
Anaheim, CA 92805-6807

Other providers in Montclair, CA

All providers in Montclair, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.