Naliyah Palacios Renegado

Individual provider Active NPI Assistant Behavior Analyst · Ione, CA

NPI 1255015012 · NPPES record last updated Jun 12, 2023

Key facts

NPI
1255015012
Entity type
Individual (NPI type 1)
Primary specialty
Assistant Behavior Analyst 106E00000X
Practice address
2695 Curran Rd
Ione, CA 95640-9645
Phone
(209) 649-4472
NPI assigned
Jun 12, 2023
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
Assistant Behavior Analyst 106E00000X Yes

Addresses

Primary practice location

2695 Curran Rd
Ione, CA 95640-9645

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other providers in Ione, CA

All providers in Ione, CA · Assistant Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.