Ikea Symone Claiborne I
Individual provider Active NPI Behavior Technician · Newhall, CA
NPI 1649895277 · NPPES record last updated Jun 9, 2020
Key facts
- NPI
- 1649895277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 23502 Lyons Ave Ste 304a
Newhall, CA 91321-2538 - Phone
- (661) 702-0169
- Fax
- (661) 702-0169
- NPI assigned
- Jun 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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
23502 Lyons Ave Ste 304a
Newhall, CA 91321-2538
Mailing address
23502 Lyons Ave Ste 304a
Newhall, CA 91321-2538
Phone (661) 702-0169
Other providers in Newhall, CA
- Imelda Chaparro Robles
- Holly Ann Charlton
- Child & Family Center
- Venessa Chong-Li
- Noemi Cisneros
- Eva Ann Clarke
- Wendy Glasgow Clough
- Kathleen Diane Cole
- Mary Ann Colf
- Common Bond Rehab Center, LLC
All providers in Newhall, 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 Jun 9, 2020. 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.