Yecenia Chavez

Individual provider Active NPI Behavior Technician · Shafter, CA

NPI 1477313625 · NPPES record last updated Mar 21, 2024

Key facts

NPI
1477313625
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
233 W Los Angeles Ave
Shafter, CA 93263-2519
Phone
(661) 759-4374
NPI assigned
Mar 21, 2024
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

233 W Los Angeles Ave
Shafter, CA 93263-2519

Mailing address

233 W Los Angeles Ave
Shafter, CA 93263-2519
Phone (661) 759-4374

Other providers in Shafter, CA

All providers in Shafter, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.