Individual
ASHLEY GUADALUPE BEJARANO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPR CERTIFICATION
Contact information
Practice address
2010 LASSEN DR, SANTA MARIA, CA 93458-8324
(805) 863-6659
Mailing address
116 AGNES AVE, SANTA MARIA, CA 93458-2838
(805) 212-7680
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
04/02/2025
Last updated
02/13/2026
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