Clarissa Acevedo
Individual provider Active NPI Behavior Technician · Modesto, CA
NPI 1558086116 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1558086116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1115 14TH St
Modesto, CA 95354-1003 - Phone
- (209) 572-2589
- NPI assigned
- Oct 6, 2022
- 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
1115 14TH St
Modesto, CA 95354-1003
Mailing address
PO Box 5157
Modesto, CA 95352-5157
Other providers in Modesto, CA
- Flor Abzun Erazo
- Genevieve Accardo
- Access Wellness Services
- Rocio Acera Pozzi
- Sonia Acevedo Cruz
- Corina Acevedo
- Eva Acevedo
- Jessica Acevedo
- Laura Acevedo
- Osiris Acevedo
All providers in Modesto, 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 Oct 6, 2022. 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.