Drucilla Nungaray
Behavior Technician in Modesto, CA. Individual provider (NPI-1).
NPI number1053928705
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1053928705
- Entity type
- Individual (NPI-1)
- Name
- Drucilla Nungaray
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2020
- Certification date
- Sep 28, 2020
- Last updated
- Sep 28, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3425 Coffee Rd Ste C2Modesto, CA 95355-1582
Phone 866-523-4268
Mailing address
3425 Coffee Rd Ste C2Modesto, CA 95355-1582
Phone 866-523-4268
Other practice locations
400 29th St Ste 204
Oakland, CA 94609-3547
Oakland, CA 94609-3547
Phone 323-517-5209
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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