Andrew Barrera

Individual provider Active NPI Behavior Technician · Milpitas, CA

NPI 1871151670 · NPPES record last updated Jun 5, 2019

Key facts

NPI
1871151670
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1603A S Main St
Milpitas, CA 95035-6261
Phone
(408) 842-2468
NPI assigned
Jun 5, 2019
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

1603A S Main St
Milpitas, CA 95035-6261

Mailing address

1322 Woodale CT
San Jose, CA 95127-4055

Other providers in Milpitas, CA

All providers in Milpitas, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.