Susana Avalos
Individual provider Active NPI Behavior Technician · Wildomar, CA
NPI 1295486140 · NPPES record last updated Jan 12, 2022
Key facts
- NPI
- 1295486140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 32395 Clinton Keith Rd Ste B12
Wildomar, CA 92595-7568 - Phone
- (951) 200-5532
- NPI assigned
- Jan 12, 2022
- 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 | Yes |
Addresses
Primary practice location
32395 Clinton Keith Rd Ste B12
Wildomar, CA 92595-7568
Mailing address
32395 Clinton Keith Rd Ste B12
Wildomar, CA 92595-7568
Phone (951) 200-5532
Other providers in Wildomar, CA
- Marvin J Atchison
- Erene Attalla
- Tatiana Maria Attobra
- Sarah Aurelio
- Natalie Avalos-Ramirez
- Bassam Azzam
- Vivien Ann Babelonia
- Carmeleene Suarez Baguio
- Lauren Nicole Bagwell
- Sabry E Bakr
All providers in Wildomar, 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 Jan 12, 2022. 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.