Cristal Preciado

Individual provider Active NPI Assistant Behavior Analyst · Visalia, CA

NPI 1366032161 · NPPES record last updated Jan 25, 2021

Key facts

NPI
1366032161
Entity type
Individual (NPI type 1)
Primary specialty
Assistant Behavior Analyst 106E00000X
Practice address
6200 S Mooney Blvd
Visalia, CA 93277-9396
Phone
(559) 747-3984
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Tulare County Office of Education Past
since Jan 31, 2021
Accepting new patients
Tulare County Office of Education Past
since Jan 31, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Yes

Addresses

Primary practice location

6200 S Mooney Blvd
Visalia, CA 93277-9396

Mailing address

PO Box 5091
Visalia, CA 93278-5091

Other providers in Visalia, CA

All providers in Visalia, CA · Assistant Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.