Aylin Gisel Gamboa | Moreno Valley, CA • PECOS Search

Aylin Gisel Gamboa

Behavior Technician

Behavioral Health & Social Service Providers

9516 Shadow Springs Dr, Moreno Valley, CA 92557-1822

PECOS Enrollment

Based on the most recent information from CMS, provider Aylin Gisel Gamboa does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1194421370
Provider Type
Individual
Full Name
Gamboa, Aylin Gisel
Gender
Female

Sole Proprietor
Yes
Enumeration Date
1/31/2023
Last Updated
1/31/2023

Contact Information

Practice Location

9516 Shadow Springs Dr, Moreno Valley, CA 92557-1822

Unlisted Fax

Mailing Location

9516 Shadow Springs Dr, Moreno Valley, CA 92557-1822

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer