Melissa Cenizo

Individual provider Active NPI Behavior Technician · Imperial, CA

NPI 1457053035 · NPPES record last updated Mar 20, 2023

Key facts

NPI
1457053035
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-22-202397 (CA)
Practice address
816 Fieldbrook CT
Imperial, CA 92251-3004
Phone
(760) 897-6162
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-22-202397CAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-202397 CA Yes

Addresses

Primary practice location

816 Fieldbrook CT
Imperial, CA 92251-3004

Mailing address

816 Fieldbrook CT
Imperial, CA 92251-3004

Other providers in Imperial, CA

All providers in Imperial, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.