Juliana Vanessa Cardenas

Individual provider Active NPI Behavior Analyst · Ladera Ranch, CA

NPI 1336710797 · NPPES record last updated Jul 7, 2021

Key facts

NPI
1336710797
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
D9792256 (CA)
Practice address
600 Corporate Dr Ste 110
Ladera Ranch, CA 92694-2107
Phone
(949) 661-6753
NPI assigned
Jul 7, 2021
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

State licenses

LicenseStateTypeSpecialty
D9792256CAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X D9792256 CA Yes

Addresses

Primary practice location

600 Corporate Dr Ste 110
Ladera Ranch, CA 92694-2107

Mailing address

600 Corporate Dr Ste 110
Ladera Ranch, CA 92694-2107
Phone (949) 661-6753

Other providers in Ladera Ranch, CA

All providers in Ladera Ranch, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.