Most Relevant Information
Provider Data
| NPI Number: | 1003661026 |
| Provider Name: | VICTORIA BREYONNA GAMBLE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2024 |
| Last Updated: | 04/22/2024 |
Provider Practice Location
94-428 MOKUOLA ST STE 214A
WAIPAHU
HI
967973396
Practice Location Phone/Fax
| Phone: | 8089442882 |
| Fax: |
Provider Mailing Location
6000 W RAYFORD RD APT 3204
SPRING
TX
773892211
Provider Mailing Phone/Fax
| Phone: | 8327649809 |
| Fax: |