Mariaelisa Agredano
Individual provider Active NPI Behavior Technician · Madera, CA
NPI 1003743196 · NPPES record last updated May 5, 2026
Key facts
- NPI
- 1003743196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1915 Howard Rd Unit BC
Madera, CA 93637-5163 - Phone
- (559) 330-2211
- NPI assigned
- May 5, 2026
- 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 | Yes |
Addresses
Primary practice location
1915 Howard Rd Unit BC
Madera, CA 93637-5163
Mailing address
996 Royal Marco Way
Marco Island, FL 34145-1829
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All providers in Madera, 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 5, 2026. 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.