Elizabeth An Hess
Individual provider Active NPI Behavior Technician · Mentone, CA
NPI 1710544713 · NPPES record last updated May 24, 2019
Key facts
- NPI
- 1710544713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1365 Crafton Ave Apt 2092
Mentone, CA 92359-1354 - Phone
- (909) 371-4272
- NPI assigned
- May 24, 2019
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1365 Crafton Ave Apt 2092
Mentone, CA 92359-1354
Mailing address
1365 Crafton Ave Apt 2092
Mentone, CA 92359-1354
Phone (909) 371-4272
Other providers in Mentone, CA
- Future Stars Youth Services
- Mishell Lynne Gama
- Jessamie Jean Garvin
- Christy Hart
- Healthcare Innovations Network, Inc
- James Patrick Caley DDS
- Tabitha Lopez
- Lovene Therapeutic Services LLC
- Ronnie Lusk
- Martina M Mikail
All providers in Mentone, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2019. 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.