Rene Ricardo Chavez

Individual provider Active NPI Behavior Technician · Gonzales, CA

NPI 1841944832 · NPPES record last updated Feb 8, 2022

Key facts

NPI
1841944832
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1629 Spumante Way
Gonzales, CA 93926-9232
Phone
(831) 821-3470
NPI assigned
Feb 8, 2022
Sex
Male
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1629 Spumante Way
Gonzales, CA 93926-9232

Mailing address

1123 Baldwin St BLDG B
Salinas, CA 93906-3681
Phone (916) 729-3098

Other providers in Gonzales, CA

All providers in Gonzales, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.