Alison Bagneschi, THERAPIST
Individual provider Active NPI Behavior Technician · San Bruno, CA
NPI 1972068948 · NPPES record last updated Feb 4, 2019
Key facts
- NPI
- 1972068948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 751 Camino PLZ Ste a
San Bruno, CA 94066-3401 - Phone
- (650) 627-8045
- NPI assigned
- Feb 4, 2019
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
751 Camino PLZ Ste a
San Bruno, CA 94066-3401
Mailing address
390 Union Blvd Ste 300
Lakewood, CO 80228-6514
Phone (303) 989-8172
Other providers in San Bruno, CA
- B & M Inc. - Fleetwood
- Sesilia Baca
- Rebeca Cristina Baculpo
- Joshua Bader
- Christian Badilla
- Bridgette Bailey
- Madeline Bailey
- Amy Ruth Baker
- Glenda P Baker
- Karen Rene Baker
All providers in San Bruno, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2019. 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.