Orlando Agraz

Individual provider Active NPI Behavior Technician · Camarillo, CA

NPI 1164076287 · NPPES record last updated Jul 26, 2019

Key facts

NPI
1164076287
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
400 Mobil Ave Ste A3
Camarillo, CA 93010-6369
Phone
(818) 241-6780
NPI assigned
Jul 26, 2019
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 Technician 106S00000X Yes

Addresses

Primary practice location

400 Mobil Ave Ste A3
Camarillo, CA 93010-6369

Mailing address

1055 E Colorado Blvd
Pasadena, CA 91106-2327

Other providers in Camarillo, CA

All providers in Camarillo, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.