Carina Campos

Individual provider Active NPI Behavior Technician · Valencia, CA

NPI 1669973889 · NPPES record last updated Feb 22, 2018

Key facts

NPI
1669973889
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
25115 Avenue Stanford Ste 100
Valencia, CA 91355-4791
Phone
(818) 241-6780
Fax
(818) 241-6853
NPI assigned
Feb 22, 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

25115 Avenue Stanford Ste 100
Valencia, CA 91355-4791

Mailing address

206 N Jackson St Ste 202
Glendale, CA 91206-4330
Phone (818) 241-6780

Other providers in Valencia, CA

All providers in Valencia, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.