Mary J Avila

Individual provider Active NPI Behavior Technician · Tulare, CA

NPI 1821704099 · NPPES record last updated Feb 3, 2023

Key facts

NPI
1821704099
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
160 N L St
Tulare, CA 93274-4114
Phone
(559) 837-1223
NPI assigned
Jan 30, 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 Analyst 103K00000X
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

160 N L St
Tulare, CA 93274-4114

Mailing address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753

Other providers in Tulare, CA

All providers in Tulare, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.