Anthony Ahumada
Individual provider Active NPI Behavior Technician · Temecula, CA
NPI 1093405656 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1093405656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 27349 Jefferson Ave Ste 204
Temecula, CA 92590-5612 - Phone
- (951) 466-3032
- Fax
- (855) 568-2494
- NPI assigned
- May 8, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nufoundation Youth Development Mentors and Life Coach Services | Current |
Accepting new patients | |
| Behavior Frontiers, LLC | Past |
Accepting new patients |
Locations
27349 Jefferson Ave
Ste 204
Temecula, CA 92590
Phone (951) 466-3032
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
27349 Jefferson Ave Ste 204
Temecula, CA 92590-5612
Mailing address
27349 Jefferson Ave Ste 204
Temecula, CA 92590-5612
Phone (951) 466-3032
Other providers in Temecula, CA
- Chibuike Charles Agwuegbo
- Ahmad Saab M.D., Faafp, a Professional Medical Corporation
- Ahmed Sheikh Qader DDS, Inc
- Syed Awais Ahmed
- Sunwoo Ahn
- Mabel Aiello
- Taylor Leilani Aiona
- Akari Healthcare Group Inc
- Anahita Akbari Farahani
- Monera Hosay Akbari
All providers in Temecula, 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 May 8, 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.