Berenice Mejia-Perez
Individual provider Active NPI Behavior Technician · Nuevo, CA
NPI 1730790635 · NPPES record last updated Aug 13, 2020
Key facts
- NPI
- 1730790635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 28191 Reservoir Ave
Nuevo, CA 92567-9570 - Phone
- (323) 702-5661
- NPI assigned
- Aug 13, 2020
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Yes |
Addresses
Primary practice location
28191 Reservoir Ave
Nuevo, CA 92567-9570
Mailing address
28191 Reservoir Ave
Nuevo, CA 92567-9570
Phone (323) 702-5661
Other providers in Nuevo, CA
- John Scott Livingstone
- Mardetta Kay Lynch
- Tali Marie Manthey
- Tricia McDougall
- Diana Esther Medina
- Nuevo Smile Dental Care
- Nuevo Smile Dental Management Corporation
- Ruth Nunez
- Nuview Union School District
- Oak Tree Homes Inc
All providers in Nuevo, 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 Aug 13, 2020. 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.