Salean Mesa

Individual provider Active NPI Behavior Technician · Hilmar, CA

NPI 1194592840 · NPPES record last updated Dec 4, 2023

Key facts

NPI
1194592840
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7859 Kent CT
Hilmar, CA 95324-9437
Phone
(209) 678-6301
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

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

7859 Kent CT
Hilmar, CA 95324-9437

Mailing address

2291 W March LN
Stockton, CA 95207-6652
Phone (510) 513-3823

Other providers in Hilmar, CA

All providers in Hilmar, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.