Autumn Andrade
Individual provider Active NPI Behavior Technician · Apple Valley, CA
NPI 1609656115 · NPPES record last updated Oct 2, 2023
Key facts
- NPI
- 1609656115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 16095 Tuscola Rd
Apple Valley, CA 92307-1319 - Phone
- (760) 269-4242
- NPI assigned
- Oct 2, 2023
- 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
16095 Tuscola Rd
Apple Valley, CA 92307-1319
Mailing address
16095 Tuscola Rd
Apple Valley, CA 92307-1319
Other providers in Apple Valley, CA
- Erica Lynn Anderson
- Michelle Marie Anderson
- Robert Craig Anderson
- Stephen Anderson
- Tre'Nise Je'Mel Anderson
- Rose Kathleen Andrade
- Karyn D Andreasen
- Andres a de la Llana MD Inc
- Sandra Elizabeth Andres Mejia
- Andrew S. Lee DMD, Inc.
All providers in Apple Valley, 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 2, 2023. 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.