Kevin Mathew Aguilar
Individual provider Active NPI Behavior Technician · Imperial, CA
NPI 1114704699 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1114704699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 192 W Vallecito CT
Imperial, CA 92251-8820 - Phone
- (760) 960-5239
- NPI assigned
- Sep 11, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Yes |
Addresses
Primary practice location
192 W Vallecito CT
Imperial, CA 92251-8820
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727
Other providers in Imperial, CA
- A.Camacho, MD, MPH. Inc.
- ABA 4 Friends LLC
- Masoud Afshar
- Edgar Castro Aguilar
- Latisha Almazan
- Am & BB Imaging Center Inc
- American Renal Service
- American Renal Services
- Pamela Ayele Anani
All providers in Imperial, 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 Sep 11, 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.