Titus Abraham
Individual provider Active NPI Behavior Technician · Irvine, CA
NPI 1033764774 · NPPES record last updated Aug 8, 2019
Key facts
- NPI
- 1033764774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 17911 Sky Park Cir Ste E
Irvine, CA 92614-4303 - Phone
- (949) 202-0257
- NPI assigned
- Aug 8, 2019
- Sex
- Male
- 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
17911 Sky Park Cir Ste E
Irvine, CA 92614-4303
Mailing address
2973 Harbor Blvd # 136
Costa Mesa, CA 92626-3912
Phone (949) 202-0257
Other providers in Irvine, CA
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- Dominique Joseph Abraham
- Margaret Abraham
- Joshua M Abram
- Soraya Abri
- Stevan Paul Abt
- Jessica Abuchaibe
- Khawala Abuelhija
All providers in Irvine, 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 Aug 8, 2019. 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.