Judith Pascual

Individual provider Active NPI Behavior Technician · Olivehurst, CA

NPI 1992663371 · NPPES record last updated Jan 13, 2026

Key facts

NPI
1992663371
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4040 Donald Dr
Olivehurst, CA 95961-9381
Phone
(916) 236-9981
NPI assigned
Jan 13, 2026
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

4040 Donald Dr
Olivehurst, CA 95961-9381

Mailing address

1075 Creekside Ridge Dr Ste 280
Roseville, CA 95678-3504

Other providers in Olivehurst, CA

All providers in Olivehurst, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.