Anna Virginia Dieckmeyer
Individual provider Active NPI Behavior Technician · Ladera Ranch, CA
NPI 1346844073 · NPPES record last updated Nov 23, 2020
Key facts
- NPI
- 1346844073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 600 Corporate Dr Ste 110
Ladera Ranch, CA 92694-2107 - Phone
- (949) 661-6753
- NPI assigned
- Nov 23, 2020
- 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 | 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
- Miranda Faith De Luna
- Matthew Devine
- Olga Devitt
- Jill Christine Dews
- Jaime Adelynn Diaz
- Allen M. Doezie
- Dr. Soheyla Marzvaan PC
- Tara Elizabeth Edwards
- Elham Ehteshami-Hunt
- Mohamed El-Menshawi
All providers in Ladera Ranch, 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 23, 2020. 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.