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Victoria Ridgway

Behavior Technician in Sacramento, CA. Individual provider (NPI-1).

NPI number1114790482
StatusActive
Last updated in NPPESOct 30, 2023

Details

NPI
1114790482
Entity type
Individual (NPI-1)
Name
Victoria Ridgway
Sex
Male
Sole proprietor
No
Enumeration date
Oct 30, 2023
Certification date
Oct 28, 2023
Last updated
Oct 30, 2023

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 codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3604-B Fair Oaks Blvd #200
Sacramento, CA 95864

Phone 855-223-7123

Mailing address

Po Box 33568
San Diego, CA 92163-3568

Phone 855-223-7123

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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