Juan De la Torre

Individual provider Active NPI Behavior Technician · Live Oak, CA

NPI 1033063995 · NPPES record last updated Feb 25, 2026

Key facts

NPI
1033063995
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
9230 Jean St
Live Oak, CA 95953-9500
Phone
(530) 455-9275
NPI assigned
Feb 25, 2026
Sex
Male
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 106S00000X CA Yes

Addresses

Primary practice location

9230 Jean St
Live Oak, CA 95953-9500

Mailing address

1075 Creekside Ridge Dr Ste 280
Roseville, CA 95678-3504

Other providers in Live Oak, CA

All providers in Live Oak, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.