Abel Abarca

Individual provider Active NPI Behavior Technician · Canoga Park, CA

NPI 1245078765 · NPPES record last updated Jul 18, 2024

Key facts

NPI
1245078765
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
21201 Victory Blvd Ste 205
Canoga Park, CA 91303-4056
Phone
(888) 428-3223
NPI assigned
Jul 18, 2024
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

21201 Victory Blvd Ste 205
Canoga Park, CA 91303-4056

Mailing address

4221 Wilshire Blvd Ste 300a
Los Angeles, CA 90010-3537
Phone (888) 428-3223

Other providers in Canoga Park, CA

All providers in Canoga Park, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.