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NPI Code Detail

MEDICARE: SAVANNAH GAMBINO

MEDICARE: SAVANNAH GAMBINO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1558152041
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNAH GAMBINO
Provider Business Mailing Address
First Line : 6771 W CHARLESTON BLVD STE C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-9016
Country : US
Telephone Number : 702-405-7451
Fax Number :
Provider Business Practice Location Address
First Line : 6771 W CHARLESTON BLVD STE C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-9016
Country : US
Telephone Number : 702-405-7451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2025
Last Update Date : 06/08/2026

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Directions to “ SAVANNAH GAMBINO ” Practice Location

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