Johari Bellows
Individual provider Active NPI Behavior Technician · Wildomar, CA
NPI 1346014263 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1346014263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 32326 Clinton Keith Rd Ste 201
Wildomar, CA 92595-7317 - Phone
- (858) 264-5858
- NPI assigned
- Nov 10, 2023
- 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
32326 Clinton Keith Rd Ste 201
Wildomar, CA 92595-7317
Mailing address
32326 Clinton Keith Rd Ste 201
Wildomar, CA 92595-7317
Other providers in Wildomar, CA
- Kassandra Beauchamp
- Jennifer E Beck Ruth
- Ashaunte Bedford
- Candice Belgarde
- Danielle Bellavance
- Miguel Beltran Moreno
- Jillian Ashley Bennett
- Hope Benson
- Karlena Bernal
- Emily Berni
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 Nov 10, 2023. 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.