Individual provider · NPI-1

Atziry Banuelos

Behavior Technician · Monterey Park, CA

NPI number1487309159
StatusActive
Last updated in NPPESFeb 21, 2022

Details

NPI
1487309159
Entity type
Individual (NPI-1)
Name
Atziry Banuelos
Sex
Female
Sole proprietor
No
Enumeration date
Feb 21, 2022
Certification date
Feb 21, 2022
Last updated
Feb 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianY5274624CAYes

Practice location

1000 Corporate Center Dr Ste 120
Monterey Park, CA 91754-7610

Phone 855-345-2273

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

Other practice locations

3400 State St Ste G759
Salem, OR 97301-5861

Phone 000-000-0000

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