Citlali Guadalupe Sapiens

Individual provider Active NPI Behavior Technician · Mecca, CA

NPI 1871308528 · NPPES record last updated Feb 10, 2025

Key facts

NPI
1871308528
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
72521 Shoal Dr
Mecca, CA 92254-4082
Phone
(760) 799-1762
NPI assigned
Feb 10, 2025
Sex
Female
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
Group: 193400000X SINGLE SPECIALTY GROUP
106S00000X Yes

Addresses

Primary practice location

72521 Shoal Dr
Mecca, CA 92254-4082

Mailing address

72521 Shoal Dr
Mecca, CA 92254-4082
Phone (760) 799-1762

Other providers in Mecca, CA

All providers in Mecca, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.