Guadalupe Veronica De Santos
Individual provider Active NPI Behavior Technician · Walnut Park, CA
NPI 1275036675 · NPPES record last updated Mar 12, 2018
Key facts
- NPI
- 1275036675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7400 Pacific Blvd Ste a&B
Walnut Park, CA 90255-5739 - Phone
- (323) 538-9050
- NPI assigned
- Mar 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | Yes |
Addresses
Primary practice location
7400 Pacific Blvd Ste a&B
Walnut Park, CA 90255-5739
Mailing address
7400 Pacific Blvd Ste a&B
Walnut Park, CA 90255-5739
Phone (323) 538-9050
Other providers in Walnut Park, CA
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- Teresa Cosio de Silva
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- Tiffany Nguyenthuan Doan
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- Dania Flores
- Susana Fuentes
All providers in Walnut Park, 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 12, 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.