Vernisha Cook

Individual provider Active NPI Behavior Technician · 29 Palms, CA

NPI 1699478362 · NPPES record last updated Mar 22, 2023

Key facts

NPI
1699478362
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8027 Rainbow Canyon Rd Apt B
29 Palms, CA 92277-5533
Phone
(229) 349-5246
NPI assigned
Mar 22, 2023
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

8027 Rainbow Canyon Rd Apt B
29 Palms, CA 92277-5533

Mailing address

21600 Oxnard St Ste 200
Woodland Hills, CA 91367-4971

Other providers in 29 Palms, CA

All providers in 29 Palms, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.