Bianca Yamilette Aguiniga Pantoja
Individual provider Active NPI Behavior Technician · San Mateo, CA
NPI 1497446173 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1497446173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1900 S Norfolk St
San Mateo, CA 94403-1164 - Phone
- (650) 242-0179
- NPI assigned
- May 15, 2023
- 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
1900 S Norfolk St
San Mateo, CA 94403-1164
Mailing address
801 Linden Ave
South San Francisco, CA 94080-2845
Phone (650) 255-6605
Other providers in San Mateo, CA
- Jennifer Vergara Aguila
- Andrea Elizabeth Aguilar
- Barbara Aguilar
- Michelle Aguilar
- Larry Alexander Aguilera
- Guadalupe Aguirre Perez
- Patricia Isabel Aguirre
- Paul Martin Agustinovich
- Arsalan Ahani
- Mitra Ahani
All providers in San Mateo, 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 May 15, 2023. 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.