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NPI Code Detail

MEDICARE: ANGELICA PRISCILLA TERRANOVA

MEDICARE:   ANGELICA PRISCILLA TERRANOVA
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
1103K00000XBehavior AnalystCA

General Provider Information

NPI Number : 1598610099
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA PRISCILLA TERRANOVA
Provider Business Mailing Address
First Line : 66290 GRANADA AVE
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-4553
Country : US
Telephone Number : 760-844-8221
Fax Number :
Provider Business Practice Location Address
First Line : 66290 GRANADA AVE
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-4553
Country : US
Telephone Number : 760-844-8221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ ANGELICA PRISCILLA TERRANOVA ” Practice Location

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