NPIMap

Desire Lynn Cabral

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Jurupa Valley, CA

NPI 1962157263 · NPPES record last updated Mar 1, 2024

Key facts

NPI
1962157263
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Phone
(951) 360-4175
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Jurupa Unified School District Current
since Feb 25, 2024		 Accepting new patients

Locations

3924 Riverview Dr
Riverside, CA 92509
Phone (951) 360-4175

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3924 Riverview Dr
Jurupa Valley, CA 92509-6611

Mailing address

3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Phone (951) 360-4175

Other providers in Jurupa Valley, CA

All providers in Jurupa Valley, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.