Valeria Rodriguez

Individual provider Active NPI Behavior Technician · Acampo, CA

NPI 1336724186 · NPPES record last updated Mar 12, 2021

Key facts

NPI
1336724186
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
24804 N Suttenfield Rd
Acampo, CA 95220-9312
Phone
(209) 366-4818
NPI assigned
Mar 12, 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

24804 N Suttenfield Rd
Acampo, CA 95220-9312

Mailing address

2291 W March LN Ste C103
Stockton, CA 95207-6652
Phone (916) 729-3098

Other providers in Acampo, CA

All providers in Acampo, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.