Blanca Rosa Camarillo

Individual provider Active NPI Behavior Technician · Soledad, CA

NPI 1619448362 · NPPES record last updated Dec 6, 2018

Key facts

NPI
1619448362
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
277 2ND St
Soledad, CA 93960-2905
Phone
(831) 512-6714
NPI assigned
Dec 6, 2018
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

277 2ND St
Soledad, CA 93960-2905

Mailing address

277 2ND St
Soledad, CA 93960-2905

Other providers in Soledad, CA

All providers in Soledad, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.