Martha Paola De Anda
Individual provider Active NPI Assistant Behavior Analyst · Imperial, CA
NPI 1871256362 · NPPES record last updated Oct 20, 2021
Key facts
- NPI
- 1871256362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- Practice address
- 629 Garnet St
Imperial, CA 92251-2516 - Phone
- (760) 890-8681
- NPI assigned
- Oct 20, 2021
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Yes |
Addresses
Primary practice location
629 Garnet St
Imperial, CA 92251-2516
Mailing address
629 Garnet St
Imperial, CA 92251-2516
Phone (760) 890-8681
Other providers in Imperial, CA
- Beneranda Vasquez Cooper
- Christina Cornejo
- Corrections and Rehabilitation-Headquarters
- Joshua William Cottrell
- Gary G Cummings
- Maria Cristina S. De Leon
- Deen Enterprises Medical Corporation
- Richard Donovan Sr.
- Samantha Duenas
- Em Medical Transport LLC
All providers in Imperial, CA · Assistant Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2021. 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.