Kimberly Milagros Avena
Individual provider Active NPI Behavior Technician · San Bruno, CA
NPI 1356900294 · NPPES record last updated Apr 16, 2021
Key facts
- NPI
- 1356900294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 901 Sneath LN Ste 105
San Bruno, CA 94066-2415 - Phone
- (408) 706-6855
- NPI assigned
- Jun 12, 2019
- 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
901 Sneath LN Ste 105
San Bruno, CA 94066-2415
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (619) 550-6368
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- Gavin Aton
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- Alyssa Avalos
- Melissa Avellan
- Desirea Cyrstal Avery
- Amber Avila
- Kathia Marie Avila
- Elizabeth Avina
- Donia Awadallah
All providers in San Bruno, 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 Apr 16, 2021. 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.