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

Octavio Vergara

Individual provider Behavior Technician · NPI 1760350128

Octavio Vergara is a Behavior Technician in Gardena, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1411 W 190th St
Gardena, CA 90248-4324
Phone: (310) 719-3908
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-446472 (CA)

Record details

NPI number1760350128
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 28, 2025

Other providers in Gardena