Selene Beatriz Villa Fragoso
Behavior Technician in Alhambra, CA. Individual provider (NPI-1).
NPI number1104795467
StatusActive
Last updated in NPPESNov 4, 2025
Details
- NPI
- 1104795467
- Entity type
- Individual (NPI-1)
- Name
- Selene Beatriz Villa Fragoso
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2025
- Certification date
- Nov 4, 2025
- Last updated
- Nov 4, 2025
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 | – | CA | Yes |
Practice location
1000 S Fremont AveAlhambra, CA 91803-8800
Phone 626-349-3838
Mailing address
1000 S Fremont AveAlhambra, CA 91803-8800
Phone 626-349-3838
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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All 459 Behavior Technician providers in Alhambra · All 2,391 providers in Alhambra
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