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

Julietta Avila Gamboa

Individual provider Behavior Technician · NPI 1104639715

Julietta Avila Gamboa is a Behavior Technician in Tyrone, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

120 Handley Rd Ste 410
Tyrone, GA 30290-2174
Phone: (770) 629-4660
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 number1104639715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2025
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

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