Avni Patel, M. Ed
Behavior Technician in Eastvale, CA. Individual provider (NPI-1).
NPI number1124523931
StatusActive
Last updated in NPPESDec 22, 2020
Details
- NPI
- 1124523931
- Entity type
- Individual (NPI-1)
- Name
- Avni Patel
- Credential
- M. Ed
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2018
- Certification date
- Dec 22, 2020
- Last updated
- Dec 22, 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 |
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
6801 Wild Lupine RdEastvale, CA 92880-9179
Phone 503-752-6303
Mailing address
6801 Wild Lupine RdEastvale, CA 92880-9179
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 22 Behavior Technician providers in Eastvale · All 459 providers in Eastvale
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