Dovia Castro-Jara

Individual provider Active NPI Behavior Technician · Newhall, CA

NPI 1609338979 · NPPES record last updated Apr 4, 2019

Key facts

NPI
1609338979
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
23502 Lyons Ave Ste 304a
Newhall, CA 91321-2538
Phone
(661) 702-0166
NPI assigned
Apr 4, 2019
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

23502 Lyons Ave Ste 304a
Newhall, CA 91321-2538

Mailing address

1314 Simmons Ave
Los Angeles, CA 90022-4219

Other providers in Newhall, CA

All providers in Newhall, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.