Mariah Michelle Davila, PT
Licensed Psychiatric Technician in Hanford, CA. Individual provider (NPI-1).
NPI number1972094597
StatusActive
Last updated in NPPESMay 21, 2018
Details
- NPI
- 1972094597
- Entity type
- Individual (NPI-1)
- Name
- Mariah Michelle Davila
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2018
- Last updated
- May 21, 2018
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 |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 38198 | CA | Yes |
Practice location
1529 W Sidonia StHanford, CA 93230
Phone 559-670-4748
Mailing address
4411 E Kings Canyon Rd # 319Fresno, CA 93702-3604
Phone 559-892-1128
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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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All 24 Licensed Psychiatric Technician providers in Hanford · All 1,738 providers in Hanford
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