OCTAVIO VERGARA

GARDENA, CA
NPI1760350128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  RBT-25-446472)
Enumeration Date2025-10-28
Last Update Date2025-10-30
Business Address
OCTAVIO VERGARA
1411 W 190TH ST
GARDENA, CA 90248-4324
Phone number: 310-719-3908
Mailing Address
OCTAVIO VERGARA
1441 S HOPE ST APT 409
LOS ANGELES, CA 90015-2965
Phone number: