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Individual
ALLEN GAMBOA
Active
Individual
ALLEN GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57337
CA
103K00000X
Behavior Analyst
RBT-17-38920
CA
106S00000X
Behavior Technician
RBT-17-38920
CA
Other
Enumeration date
03/19/2018
Last updated
01/07/2022
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