Aniya Adams

Individual provider Active NPI Behavior Technician · Fullerton, CA

NPI 1639879166 · NPPES record last updated Mar 3, 2023

Key facts

NPI
1639879166
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1907 Deerpark Dr Apt 440
Fullerton, CA 92831-1578
Phone
(657) 525-8261
NPI assigned
Mar 3, 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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1907 Deerpark Dr Apt 440
Fullerton, CA 92831-1578

Mailing address

1907 Deerpark Dr Apt 440
Fullerton, CA 92831-1578

Other providers in Fullerton, CA

All providers in Fullerton, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.