Damian Allen
Individual provider Active NPI Behavior Analyst · Indio, CA
NPI 1962280859 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1962280859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 47915 Oasis St
Indio, CA 92201-6950 - Phone
- (760) 863-8600
- NPI assigned
- Sep 20, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CA | Yes |
Addresses
Primary practice location
47915 Oasis St
Indio, CA 92201-6950
Mailing address
47915 Oasis St
Indio, CA 92201-6950
Phone (760) 863-8600
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2023. 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.