Amanda Lauren Aguilar
Individual provider Active NPI Behavior Technician · Ontario, CA
NPI 1235977869 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1235977869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 106S00000X (CA)
- Practice address
- 4688 Ontario Mills Pkwy
Ontario, CA 91764-5104 - Phone
- (714) 834-1111
- NPI assigned
- Jul 17, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106S00000X | CA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 106S00000X | CA | Yes |
Addresses
Primary practice location
4688 Ontario Mills Pkwy
Ontario, CA 91764-5104
Mailing address
4688 Ontario Mills Pkwy
Ontario, CA 91764-5104
Other providers in Ontario, CA
- Evelyn Aguayo
- Xavier Aguayo
- Freddy Agudo
- Mari Hazel Aguila
- Aguilar Counseling & Wellness Corp
- Ana L Aguilar
- Ashley Monique Aguilar
- Aymie C Aguilar
- Betty Angel Aguilar
- Lizbeth Aguilar
All providers in Ontario, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. 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.