| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GEMMA ERICA MANGINO | 1053994699 | 2021-05-02 |
Gemma Erica Mangino is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053994699. Registration indicates Gemma Erica Mangino is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Gemma Erica Mangino |
| Practice Office Address | 4350 E SUNSET RD STE 203 HENDERSON, NV US |
| Practice Office Telephone | 7025476971 |
| Mailing Address | 1060 WIGWAM PKWY HENDERSON, NV 890748162 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
NV |