Rainier Soe Rangel

Individual provider Active NPI Behavior Analyst · Walnut Park, CA

NPI 1164035044 · NPPES record last updated Aug 28, 2020

Key facts

NPI
1164035044
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
7400 Pacific Blvd
Walnut Park, CA 90255-5954
Phone
(323) 538-9050
NPI assigned
Aug 28, 2020
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

7400 Pacific Blvd
Walnut Park, CA 90255-5954

Mailing address

21600 Oxnard St
Woodland Hills, CA 91367-4976

Other providers in Walnut Park, CA

All providers in Walnut Park, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.