Adrian Cordova Rico

Individual provider Active NPI Behavior Technician · Escondido, CA

NPI 1386457992 · NPPES record last updated Jan 28, 2025

Key facts

NPI
1386457992
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1358 W Valley Pkwy # 1006
Escondido, CA 92029-2139
Phone
(888) 428-3223
NPI assigned
Jan 28, 2025
Sex
Male
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1358 W Valley Pkwy # 1006
Escondido, CA 92029-2139

Mailing address

4221 Wilshire Blvd Ste 300a
Los Angeles, CA 90010-3537
Phone (888) 428-3223

Other providers in Escondido, CA

All providers in Escondido, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.