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NPI Code Detail

MEDICARE: AUDRA BARBOSA

MEDICARE: AUDRA BARBOSA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1366394660
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDRA BARBOSA
Provider Business Mailing Address
First Line : 4447 N BENEDICT AVE
Second Line :
City : FRESNO
State : CA
Zip : 93722-4229
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1401 FULTON ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1643
Country : US
Telephone Number : 559-348-9225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ AUDRA BARBOSA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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