Mina Azadinezhad

Individual provider Active NPI Behavior Technician · Orangevale, CA

NPI 1184577199 · NPPES record last updated Feb 18, 2026

Key facts

NPI
1184577199
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8624 La Paenda Way
Orangevale, CA 95662-2315
Phone
(916) 940-5660
NPI assigned
Feb 18, 2026
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
Behavior Technician 106S00000X CA Yes

Addresses

Primary practice location

8624 La Paenda Way
Orangevale, CA 95662-2315

Mailing address

8624 La Paenda Way
Orangevale, CA 95662-2315
Phone (916) 940-5660

Other providers in Orangevale, CA

All providers in Orangevale, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.