Emiko Lea Ancheta

Individual provider Active NPI Behavior Technician · Davis, CA

NPI 1609503168 · NPPES record last updated Aug 4, 2022

Key facts

NPI
1609503168
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1947 Galileo CT Ste 100
Davis, CA 95618-4882
Phone
(530) 220-1450
NPI assigned
Aug 4, 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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1947 Galileo CT Ste 100
Davis, CA 95618-4882

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in Davis, CA

All providers in Davis, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.