Vanesa Martinez Pena
Individual provider Active NPI Behavior Analyst · Mountain House, CA
NPI 1982180295 · NPPES record last updated Jul 19, 2018
Key facts
- NPI
- 1982180295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 845 S Amor St
Mountain House, CA 95391-2048 - Phone
- (650) 281-6043
- NPI assigned
- Jul 19, 2018
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
845 S Amor St
Mountain House, CA 95391-2048
Mailing address
845 S Amor St
Mountain House, CA 95391-2048
Other providers in Mountain House, CA
- Serafin Lomeli Jr.
- Macmaster Psychiatric Services a Professional Nursing Corporation
- Malhotra and Chitturi Medical Corp
- Deepali Malla
- Charlotte Mary Mallard
- Bibi Khatira Masoomi
- Fawad Meskienyar
- Microtel LLC
- Stephanie Anne Mohtashemi
- Teresa Marie Nava-Anderson
All providers in Mountain House, 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 Jul 19, 2018. 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.