Maria Fernanda Escobedo

Individual provider Active NPI Behavior Analyst · Hercules, CA

NPI 1467879239 · NPPES record last updated Mar 24, 2014

Key facts

NPI
1467879239
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
ABA SUPPORT STAFF
Practice address
2015 Cabrillo LN
Hercules, CA 94547-5419
Phone
(866) 936-7838
Fax
(866) 936-7840
NPI assigned
Mar 18, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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
Encompass Consulting, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X ABA SUPPORT STAFF Yes

Addresses

Primary practice location

2015 Cabrillo LN
Hercules, CA 94547-5419

Mailing address

2015 Cabrillo LN
Hercules, CA 94547-5419
Phone (866) 936-7838

Other providers in Hercules, CA

All providers in Hercules, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.