Mrs Lissette Gamboa, LMHC, BCBA is a
Behavior Analyst based in Miami, Florida. Mrs Lissette Gamboa is licensed to practice in Florida (license number 1-20-41535) and her current practice location is
13195 Sw 134th St Ste 201, Miami, Florida. She can be reached at her office (for appointments etc.) via phone at
(786) 206-6500.
NPI number for Mrs Lissette Gamboa is 1861918393 and her current mailing address is 5437 Sw 132nd Ave, Miramar, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861918393.
Healthcare Provider's Profile
Full Name | Mrs Lissette Gamboa |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 13195 Sw 134th St Ste 201, Miami, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861918393
- Provider Enumeration Date: 08/16/2017
- Last Update Date: 09/01/2023
Medical Identifiers
Medical identifiers for Mrs Lissette Gamboa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861918393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MH15245 (Florida) | Secondary |
103K00000X | Behavior Analyst | 1-20-41535 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lissette Gamboa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lissette Gamboa, LMHC, BCBA 5437 Sw 132nd Ave, Miramar, FL 33027-5432 Ph: (305) 494-1902 | Mrs Lissette Gamboa, LMHC, BCBA 13195 Sw 134th St Ste 201, Miami, FL 33186-4585 Ph: (786) 206-6500 |
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