Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Ruby Bravo

Individual provider Behavior Technician · NPI 1790403681

Jacqueline Ruby Bravo is a Behavior Technician in Gardena, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1411 W 190th St Ste 110
Gardena, CA 90248-4370
Phone: (000) 000-0000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1790403681
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 17, 2022
Mailing address1466 1/4 E 21st St, Los Angeles, CA 90011-1396

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