MEDICARE: MARIBEL A BOCANEGRA

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
2	174H00000X	Health Educator

General Provider Information

NPI Number	:	1457950024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIBEL A BOCANEGRA

Provider Business Mailing Address
First Line	:	549 CRESCENT WAY
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93906-2707
Country	:	US
Telephone Number	:	831-225-5250
Fax Number	:

Provider Business Practice Location Address
First Line	:	549 CRESCENT WAY
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93906-2707
Country	:	US
Telephone Number	:	831-225-5250
Fax Number	:

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

Provider Enumeration Date	:	10/23/2020
Last Update Date	:	05/26/2023

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Directions to “ MARIBEL A BOCANEGRA ” Practice Location

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