Luisa Grace Barrios Crockett
Individual provider Active NPI Behavior Technician · Lafayette, CA
NPI 1063008019 · NPPES record last updated Dec 14, 2020
Key facts
- NPI
- 1063008019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3650 Mt Diablo Blvd Ste 107
Lafayette, CA 94549-3768 - Phone
- (866) 523-4268
- NPI assigned
- Dec 14, 2020
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3650 Mt Diablo Blvd Ste 107
Lafayette, CA 94549-3768
Mailing address
PO Box 399318
San Francisco, CA 94139-9318
Phone (866) 523-4268
Other providers in Lafayette, CA
- Georgia B Banks
- John A. Barakos Jr.
- Alyssa Barker
- Barnali Roy, DDS, Inc
- Dan B Barrett
- Samantha Rose Bauer
- Bay Area Acupuncture Centers Inc
- Bay Area Dental Implant Center, LP
- Bay Area Physical Therapy, Inc
- Bay Area Psychotherapy Institute
All providers in Lafayette, 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 Dec 14, 2020. 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.