Marilu Caravez

Individual provider Active NPI Behavior Technician · Highland, CA

NPI 1255079588 · NPPES record last updated May 25, 2022

Key facts

NPI
1255079588
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
27076 Cypress St
Highland, CA 92346-3662
Phone
(951) 223-5354
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Bright Speech and Language Therapy Corp. Current
since May 29, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

27076 Cypress St
Highland, CA 92346-3662

Mailing address

27076 Cypress St
Highland, CA 92346-3662
Phone (951) 223-5354

Other providers in Highland, CA

All providers in Highland, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.