Lizvett Morales Torres

Individual provider Active NPI Behavior Technician · Thousand Palms, CA

NPI 1013575976 · NPPES record last updated Jun 4, 2019

Key facts

NPI
1013575976
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
30220 Las Flores Way
Thousand Palms, CA 92276-3024
Phone
(442) 215-6349
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician
Group: 193400000X SINGLE SPECIALTY GROUP
106S00000X Yes

Addresses

Primary practice location

30220 Las Flores Way
Thousand Palms, CA 92276-3024

Mailing address

30220 Las Flores Way
Thousand Palms, CA 92276-3024
Phone (442) 215-6349

Other providers in Thousand Palms, CA

All providers in Thousand Palms, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.