Odalis Aguilar
Individual provider Active NPI Behavior Technician · Costa Mesa, CA
NPI 1386100758 · NPPES record last updated Feb 11, 2019
Key facts
- NPI
- 1386100758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3303 Harbor Blvd Ste B8
Costa Mesa, CA 92626-1517 - Phone
- (714) 786-6069
- Fax
- (714) 834-9822
- NPI assigned
- Feb 11, 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 | Yes |
Addresses
Primary practice location
3303 Harbor Blvd Ste B8
Costa Mesa, CA 92626-1517
Mailing address
3303 Harbor Blvd Ste B8
Costa Mesa, CA 92626-1517
Phone (714) 786-6069
Other providers in Costa Mesa, CA
- Eduardo Aguilar Velasquez
- Daisy Aguilar
- Dina Aguilar
- Gabriela Alejandra Aguilar
- Nichole Aguilar
- Alvaro Adrian Aguirre
- Breanna Aguirre
- Evelyn Aguirre
- Jorge Aguirre
- Joseph Matthew Aguirre
All providers in Costa Mesa, 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 Feb 11, 2019. 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.