Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Julietta Avila Gamboa
Behavior Technician in Tyrone, GA · enumerated 2025.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104639715
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Julietta Avila Gamboa
Sex Female
Practice address 120 Handley Rd Ste 410, Tyrone, GA, 30290
Phone (770) 629-4660
Enumeration date Jan 28, 2025
Last updated in NPPES Jan 28, 2025
Taxonomy & licenses
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1104639715 active?
Yes, as of the latest NPPES snapshot, NPI 1104639715 is active (record last updated 2025-01-28).
How do I verify Julietta Gamboa's NPI record?
Cross-check NPI 1104639715 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Meyanna Jones Assistant Behavior Analyst · Tyrone, GA NPI 1447800107 Brittany Scott Behavior Analyst · Tyrone, GA NPI 1639753643 Hannah Wilson Behavior Technician · Tyrone, GA NPI 1508613233 Victoria Martyn Behavior Technician · Tyrone, GA NPI 1962229161 Julian Coleman Behavior Technician · Tyrone, GA NPI 1366369332 Jon Toudt Behavior Technician · Tyrone, GA NPI 1952229718
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-28.