Healthcare Provider Details

I. General information

NPI: 1760330732
Provider Name (Legal Business Name): ALAURA NOEL PELAEZ-RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4939 MARCONI AVE APT 18
CARMICHAEL CA
95608-4152
US

IV. Provider business mailing address

1705 CREEKSIDE RIDGE S 280, ROSEVILLE CA,95678
ROSEVILLE CA
95678
US

V. Phone/Fax

Practice location:
  • Phone: 916-694-4407
  • Fax:
Mailing address:
  • Phone: 916-729-3098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: