Judith Ihrke
Individual provider Active NPI Behavior Technician · Winton, CA
NPI 1255833406 · NPPES record last updated Mar 4, 2018
Key facts
- NPI
- 1255833406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6628 Mercedes Ave
Winton, CA 95388-9731 - Phone
- (209) 617-0821
- NPI assigned
- Mar 4, 2018
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Yes |
Addresses
Primary practice location
6628 Mercedes Ave
Winton, CA 95388-9731
Mailing address
6628 Mercedes Ave
Winton, CA 95388-9731
Phone (209) 617-0821
Other providers in Winton, CA
- Jose Figueroa
- Yahaira G Flores
- Susan Kay Fraizer
- Daniel Angel Gonzalez
- Rosemary Elizabeth Haskett
- Lily Pe Khoshaba
- Jazmine Lagunas
- Leticia Luis Hernandez
- Asucena Maldonado
- Frank Randall McGauley
All providers in Winton, 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 Mar 4, 2018. 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.