Vincent Robert Ascencio

Individual provider Active NPI Behavior Technician · Artesia, CA

NPI 1053064550 · NPPES record last updated Feb 3, 2022

Key facts

NPI
1053064550
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
17628 Alburtis Ave Unit 12
Artesia, CA 90701-3868
Phone
(562) 210-6188
NPI assigned
Feb 3, 2022
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

17628 Alburtis Ave Unit 12
Artesia, CA 90701-3868

Mailing address

17628 Alburtis Ave Unit 12
Artesia, CA 90701-3868
Phone (562) 210-6188

Other providers in Artesia, CA

All providers in Artesia, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.