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Individual provider Active NPI Behavior Technician · Fresno, CA

NPI 1629542766 · NPPES record last updated Jan 11, 2019

Key facts

NPI
1629542766
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1401 Fulton St Ste 200
Fresno, CA 93721-1646
Phone
(559) 348-9225
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Esperanza Therapy Services Past
since Jul 28, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1401 Fulton St Ste 200
Fresno, CA 93721-1646

Mailing address

1401 Fulton St Ste 200
Fresno, CA 93721-1646
Phone (559) 348-9225

Other providers in Fresno, CA

All providers in Fresno, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.