Sophia Preciado
Behavior Technician in Pasadena, CA. Individual provider (NPI-1).
NPI number1790448488
StatusActive
Last updated in NPPESOct 19, 2021
Details
- NPI
- 1790448488
- Entity type
- Individual (NPI-1)
- Name
- Sophia Preciado
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2021
- Certification date
- Oct 19, 2021
- Last updated
- Oct 19, 2021
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 |
Practice location
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780 · Fax 818-241-6853
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780 · Fax 818-241-6853
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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