MEDICARE: MONICA PHELPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		CA

General Provider Information

NPI Number	:	1003742495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA PHELPS

Provider Business Mailing Address
First Line	:	4980 HILLSDALE CIR STE A
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-5726
Country	:	US
Telephone Number	:	916-607-5913
Fax Number	:	916-607-5913

Provider Business Practice Location Address
First Line	:	4980 HILLSDALE CIR STE A
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-5726
Country	:	US
Telephone Number	:	916-607-5913
Fax Number	:	916-607-5913

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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Directions to “ MONICA PHELPS ” Practice Location

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