Taraqueda L Birch
Individual provider Active NPI Behavior Technician · La Palma, CA
NPI 1821797648 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1821797648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-260247 (NE)
- Practice address
- 6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545 - Phone
- (800) 939-3410
- NPI assigned
- Mar 1, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-260247 | NE | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-260247 | NE | Yes |
Addresses
Primary practice location
6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545
Mailing address
6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545
Phone (800) 939-3410
Other practice location 1
9802 Nicholas St Ste 395
Omaha, NE 68114-2168
Phone (402) 252-1363
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- Jasmin Blanco
- Jeanette Bocanegra
- Josephine Pauline Bock
- Megan L Bock
- Morgan Boggs
All providers in La Palma, 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 Apr 15, 2025. 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.