Denise Smith Easton, MS
Individual provider Active NPI Behavior Analyst · Mira Loma, CA
NPI 1972020774 · NPPES record last updated Aug 23, 2017
Key facts
- NPI
- 1972020774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 3125 Tiffany Dr
Mira Loma, CA 91752-2833 - Phone
- (951) 237-5301
- NPI assigned
- Aug 23, 2017
- 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
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
3125 Tiffany Dr
Mira Loma, CA 91752-2833
Mailing address
3125 Tiffany Dr
Mira Loma, CA 91752-2833
Other providers in Mira Loma, CA
- Country Village Pharmacy
- Devin Davis
- Dhama and Rodgers Dental Corporation
- Dimitri Dental Corporation
- Rami G Dimitri
- Elizabeth Garcia
- Nicole Gilles
- Christopher Gonzales
- Help Me Rhonda
- Jerry Chung-Farn Hsu
All providers in Mira Loma, CA · 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 Aug 23, 2017. 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.