Provider Demographics
NPI:1467808451
Name:GOUVEIA, REBECCA (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:GOUVEIA
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4428 E ROSADA ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-2722
Mailing Address - Country:US
Mailing Address - Phone:310-922-9963
Mailing Address - Fax:
Practice Address - Street 1:18700 BEACH BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-2030
Practice Address - Country:US
Practice Address - Phone:714-962-6760
Practice Address - Fax:714-962-5961
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst