Eduardo Arzate
Individual provider Active NPI Behavior Analyst · Poway, CA
NPI 1164084349 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1164084349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- RBT-19-91721 (CA)
- Practice address
- 14251 Danielson St
Poway, CA 92064-8818 - Phone
- (858) 699-7579
- NPI assigned
- Jul 8, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-91721 | CA | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-19-91721 | CA | Yes |
Addresses
Primary practice location
14251 Danielson St
Poway, CA 92064-8818
Mailing address
14251 Danielson St
Poway, CA 92064-8818
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. 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.