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

Selom Gbewonyo

Individual provider Behavior Technician · NPI 1972226199

Selom Gbewonyo is a Behavior Technician in Canoga Park, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

21201 Victory Blvd Ste 205
Canoga Park, CA 91303-4056
Phone: (888) 428-3223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1972226199
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

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