Kevin Barba Aparicio

Individual provider Active NPI Behavior Technician · Davis, CA

NPI 1083336010 · NPPES record last updated Oct 2, 2023

Key facts

NPI
1083336010
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1949 5TH St Ste 103
Davis, CA 95616-4026
Phone
(530) 753-2566
NPI assigned
Sep 15, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Ranch Treatment Services for Children Case Manager/Care Coordinator Current
since Sep 20, 2022
Accepting new patients

Locations

1949 5th St
Ste 103
Davis, CA 95616
Phone (530) 304-4586

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1949 5TH St Ste 103
Davis, CA 95616-4026

Mailing address

311 N College St Apt 5
Woodland, CA 95695-2781
Phone (530) 304-2193

Other providers in Davis, CA

All providers in Davis, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.