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NPI Code Detail

MEDICARE: AILEEN VELAZQUEZ

MEDICARE: AILEEN VELAZQUEZ
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 TechnicianRBT-24-332292CA

General Provider Information

NPI Number : 1720857956
Entity Type Code : Individual
Provider Name (Legal Business Name) : AILEEN VELAZQUEZ
Provider Business Mailing Address
First Line : PO BOX 2686
Second Line :
City : HEMET
State : CA
Zip : 92546-2686
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 E FLORIDA AVE
Second Line :
City : HEMET
State : CA
Zip : 92544-4679
Country : US
Telephone Number : 951-357-6959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2023
Last Update Date : 06/09/2026

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Directions to “ AILEEN VELAZQUEZ ” Practice Location

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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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