Odessa Janet Acosta-Zepeda

Individual provider Active NPI Behavior Technician · Temecula, CA

NPI 1679080147 · NPPES record last updated Jan 5, 2018

Key facts

NPI
1679080147
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
29595 Pujol St
Temecula, CA 92590-6763
Phone
(253) 320-1017
NPI assigned
Jan 5, 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 CA Yes

Addresses

Primary practice location

29595 Pujol St
Temecula, CA 92590-6763

Mailing address

29595 Pujol St
Temecula, CA 92590-6763
Phone (253) 320-1017

Other providers in Temecula, CA

All providers in Temecula, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.