Anita Canchola

Individual provider Active NPI Assistant Behavior Analyst · Soledad, CA

NPI 1134812779 · NPPES record last updated May 30, 2023

Key facts

NPI
1134812779
Entity type
Individual (NPI type 1)
Primary specialty
Assistant Behavior Analyst 106E00000X
Practice address
157 Goldenrod St
Soledad, CA 93960-3535
Phone
(408) 854-2094
NPI assigned
May 30, 2023
Sex
Female
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)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Yes

Addresses

Primary practice location

157 Goldenrod St
Soledad, CA 93960-3535

Mailing address

157 Goldenrod St
Soledad, CA 93960-3535
Phone (408) 854-2094

Other providers in Soledad, CA

All providers in Soledad, CA · Assistant Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.