Easterseals Southern California
Behavior Technician in Ontario, CA. Organization (NPI-2).
NPI number1841136801
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1841136801
- Entity type
- Organization (NPI-2)
- Legal business name
- Easterseals Southern California
- Organization subpart
- No
- Enumeration date
- Apr 23, 2026
- Certification date
- Apr 27, 2026
- Last updated
- Apr 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4688 Ontario Mills PkwyOntario, CA 91764-5104
Phone 909-476-5747
Mailing address
4688 Ontario Mills PkwyOntario, CA 91764-5104
Phone 909-476-5747
Authorized official
Jewel Valle
Behavior Interventionist
9096822617
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