Brandy Jackeline Aguilar

Individual provider Active NPI Behavior Technician · La Palma, CA

NPI 1639929979 · NPPES record last updated Mar 26, 2024

Key facts

NPI
1639929979
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545
Phone
(800) 939-3410
NPI assigned
Mar 26, 2024
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 Analyst 103K00000X
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545

Mailing address

6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545

Other providers in La Palma, CA

All providers in La Palma, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.