Healthcare Provider Details

I. General information

NPI: 1316747835
Provider Name (Legal Business Name): MONIQUE M TRAPASSO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONIQUE M MORALES

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

396 N MAGNOLIA AVE
EL CAJON CA
92020-3908
US

IV. Provider business mailing address

421 SHADY LN APT 14
EL CAJON CA
92021-6430
US

V. Phone/Fax

Practice location:
  • Phone: 858-264-5858
  • Fax: 858-649-6012
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number25-418968
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: