Tiara Bumanglag

Individual provider Active NPI Behavior Technician · Shafter, CA

NPI 1700528411 · NPPES record last updated Apr 12, 2022

Key facts

NPI
1700528411
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
9312 Woodbrook Dr
Shafter, CA 93263-9664
Phone
(805) 865-6348
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
Yes

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

9312 Woodbrook Dr
Shafter, CA 93263-9664

Mailing address

1800 Westwind Dr Ste 403
Bakersfield, CA 93301-3032
Phone (916) 365-6285

Other providers in Shafter, CA

All providers in Shafter, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.