Azzuree Odyzzey Adams

Individual provider Active NPI Behavior Technician · Ontario, CA

NPI 1497569370 · NPPES record last updated Feb 3, 2025

Key facts

NPI
1497569370
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3333 Concours St
Suite 4102
Ontario, CA 91764
Phone
(909) 240-1764
Fax
(909) 259-2369
NPI assigned
Feb 3, 2025
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

3333 Concours St
Suite 4102
Ontario, CA 91764

Mailing address

3333 Concours St
Suite 4102
Ontario, CA 91764
Phone (909) 240-1764

Other providers in Ontario, CA

All providers in Ontario, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.