Daisy Garnelo
Individual provider Active NPI Behavior Analyst · Modesto, CA
NPI 1588166342 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1588166342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-24-78081 (CA)
- Practice address
- 605 Standiford Ave Ste B
Modesto, CA 95350-1000 - Phone
- (877) 418-2978
- NPI assigned
- Mar 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-14534 | CA | MD | Other Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-19-9764 | CA | |
| Other Technician | 247200000X | RBT-16-14534 | CA | |
| Behavior Analyst | 103K00000X | 1-24-78081 | CA | Yes |
Addresses
Primary practice location
605 Standiford Ave Ste B
Modesto, CA 95350-1000
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (877) 418-2978
Other practice location 1
11040 Bollinger Canyon Rd # 155
San Ramon, CA 94582-4969
Phone (925) 915-0610
Other providers in Modesto, CA
- Gloria Garibay
- Luisa Amairany Garibay
- Sabrina Britaney Garibay
- Marissa Garica
- Justin Garliepp
- Deborah Marlene Garner
- Llaneh Garner
- Stevi Garnett
- Maria Guadalupe Garnica Albor
- Ailillia Garnica
All providers in Modesto, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. 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.