Individual provider · NPI-1

George Izaac Acevedo

Behavior Technician · Indio, CA

NPI number1548044985
StatusActive
Last updated in NPPESJun 9, 2026

Details

NPI
1548044985
Entity type
Individual (NPI-1)
Name
George Izaac Acevedo
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 24, 2023
Certification date
Jun 9, 2026
Last updated
Jun 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

47915 Oasis St
Indio, CA 92201-6950

Phone 760-863-8600

Mailing address

82419 Garden Ave
Indio, CA 92201-5748

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