Iraida Lizet Avena
Individual provider Active NPI Behavior Analyst · Milpitas, CA
NPI 1669974945 · NPPES record last updated Mar 2, 2018
Key facts
- NPI
- 1669974945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1603A S Main St
Milpitas, CA 95035-6261 - Phone
- (408) 913-5019
- NPI assigned
- Mar 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCT, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1603A S Main St
Milpitas, CA 95035-6261
Mailing address
1603A S Main St
Milpitas, CA 95035-6261
Other providers in Milpitas, CA
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- Asm Family Foundation
- Aurora Dentistry, Inc
- Lucy L Austin
- Swe Swe W. Aye
- Nicole Monique Azevedo
- Virgo Bagalso
- Armando Bajacan Jr.
- Aries Jo-Az Flores Bala
All providers in Milpitas, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2018. 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.