Tercia Lynn Aboyo, BCAT

Individual provider Active NPI Behavior Technician · Fresno, CA

NPI 1740788827 · NPPES record last updated Jan 24, 2018

Key facts

NPI
1740788827
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
00001980 (CA)
Practice address
1690 W Shaw Ave Ste 102
Fresno, CA 93711-3518
Phone
(559) 255-9900
NPI assigned
Jan 24, 2018
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

State licenses

LicenseStateTypeSpecialty
00001980CAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 00001980 CA Yes

Addresses

Primary practice location

1690 W Shaw Ave Ste 102
Fresno, CA 93711-3518

Mailing address

21600 Oxnard St
Woodland Hills, CA 91367-4976
Phone (818) 345-2345

Other providers in Fresno, CA

All providers in Fresno, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.