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NPI Code Detail

MEDICARE: ANESCIA YVETTE BOYD

MEDICARE: ANESCIA YVETTE BOYD
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
1106H00000XMarriage & Family Therapist110942CA
2106H00000XMarriage & Family Therapist
3106S00000XBehavior Technician
4106H00000XMarriage & Family TherapistAMFT152582CA

General Provider Information

NPI Number : 1881105195
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANESCIA YVETTE BOYD
Provider Business Mailing Address
First Line : 16600 SHERMAN WAY STE 178
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-3875
Country : US
Telephone Number : 951-922-5792
Fax Number :
Provider Business Practice Location Address
First Line : 16600 SHERMAN WAY STE 178
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-3875
Country : US
Telephone Number : 951-922-5792
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2017
Last Update Date : 05/12/2026

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Directions to “ ANESCIA YVETTE BOYD ” Practice Location

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