Alexis Abarca
Individual provider Active NPI Behavior Technician · Stockton, CA
NPI 1003555848 · NPPES record last updated May 31, 2022
Key facts
- NPI
- 1003555848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107 - Phone
- (209) 452-8996
- NPI assigned
- May 31, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Yes |
Addresses
Primary practice location
1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Mailing address
350 Fairway Dr Ste 101
Deerfield BCH, FL 33441-1834
Phone (877) 418-2978
Other providers in Stockton, CA
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- Krystle Abalos
- Maureen Susan Abaray
- Jasmin Iris Abarca Millan
- Cindy Abarca
- Jake Ladislao Abarca
- Ruby Garcia Abarca
- Seema Abbasi
- Ariel Ramirez Abbott
All providers in Stockton, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.