Evelyn Reboseno Herrera
Behavior Technician in Indio, CA. Individual provider (NPI-1).
NPI number1013896331
StatusActive
Last updated in NPPESAug 29, 2025
Details
- NPI
- 1013896331
- Entity type
- Individual (NPI-1)
- Name
- Evelyn Reboseno Herrera
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2025
- Certification date
- Aug 29, 2025
- Last updated
- Aug 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
82380 Miles AveIndio, CA 92201-2608
Phone 800-207-0272
Mailing address
612 S Myrtle Ave Ste 100Monrovia, CA 91016-3406
Phone 800-207-0272
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