MEDICARE: KARLA KARINA ZARAGOZA SANCHEZ

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	106E00000X	Assistant Behavior Analyst		CA

General Provider Information

NPI Number	:	1154116226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLA KARINA ZARAGOZA SANCHEZ

Provider Business Mailing Address
First Line	:	691 IROLO ST APT 1101
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-4113
Country	:	US
Telephone Number	:	213-676-6171
Fax Number	:

Provider Business Practice Location Address
First Line	:	691 IROLO ST APT 1101
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-4113
Country	:	US
Telephone Number	:	213-676-6171
Fax Number	:

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

Provider Enumeration Date	:	04/10/2025
Last Update Date	:	04/10/2025

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