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NPI Code Detail

MEDICARE: GEOVANNA CONTRERAS

MEDICARE: GEOVANNA CONTRERAS
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 Analyst122-58512CA

General Provider Information

NPI Number : 1972243475
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEOVANNA CONTRERAS
Provider Business Mailing Address
First Line : 4500 PARK GRANADA STE 202
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1666
Country : US
Telephone Number : 818-932-9644
Fax Number :
Provider Business Practice Location Address
First Line : 4500 PARK GRANADA STE 202
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1666
Country : US
Telephone Number : 323-680-7994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2022
Last Update Date : 03/31/2022

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Directions to “ GEOVANNA CONTRERAS ” 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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