Astrid Vanessa Palencia Vallar
Behavior Technician in Oakland, CA. Individual provider (NPI-1).
NPI number1194662015
StatusActive
Last updated in NPPESApr 29, 2026
Details
- NPI
- 1194662015
- Entity type
- Individual (NPI-1)
- Name
- Astrid Vanessa Palencia Vallar
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 29, 2026
- Certification date
- Apr 29, 2026
- Last updated
- Apr 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | Y9020774 | CA | Yes |
Practice location
2580 Fruitvale Ave Apt BOakland, CA 94601-1964
Phone 510-282-6836
Mailing address
1075 Creekside Ridge Dr Ste 280Roseville, CA 95678-3504
Phone 510-282-6836 · Fax 510-282-6836
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