Ronel Azriel Acuavera
Individual provider Active NPI Behavior Technician · Fullerton, CA
NPI 1699455337 · NPPES record last updated Jul 18, 2023
Key facts
- NPI
- 1699455337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612 - Phone
- (712) 879-4274
- Fax
- (714) 879-2274
- NPI assigned
- Jul 18, 2023
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612
Mailing address
713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612
Phone (714) 879-4274
Other names
- Azriel Ronel Acuavera
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2023. 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.