Itzhara Atai Carreno
Individual provider Active NPI Assistant Behavior Analyst · Heber, CA
NPI 1053013185 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1053013185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- Practice address
- 65 W Hawk St
Heber, CA 92249-9749 - Phone
- (176) 033-6942
- NPI assigned
- Mar 21, 2023
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | CA | Yes |
Addresses
Primary practice location
65 W Hawk St
Heber, CA 92249-9749
Mailing address
65 W Hawk St
Heber, CA 92249-9749
Phone (760) 336-9425
Other providers in Heber, CA
- Rolando Gonzalez Barajas
- Andrez Barkle
- Bryana Barkle
- Fernanda Barkle
- Melanie Lizbeth Estrada
- Kayla Finnell
- Dennise Frazier
- Sherlyn A Garcia
- Luis Gin
All providers in Heber, CA · Assistant Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. 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.