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NPI Code Detail

MEDICARE: HAIDEE AGUILAR

MEDICARE: HAIDEE AGUILAR
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 Analyst

General Provider Information

NPI Number : 1770428823
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAIDEE AGUILAR
Provider Business Mailing Address
First Line : 18726 S WESTERN AVE
Second Line :
City : GARDENA
State : CA
Zip : 90248-3813
Country : US
Telephone Number : 310-856-0800
Fax Number : 855-568-2494
Provider Business Practice Location Address
First Line : 5080 CALIFORNIA AVE STE 250
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-0732
Country : US
Telephone Number : 661-258-3240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “ HAIDEE AGUILAR ” Practice Location

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