Healthcare Provider Details

I. General information

NPI: 1114869849
Provider Name (Legal Business Name): EDVERI ITZABETH LEYVA ANGUIANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 PARK AVE APT 2
EL CENTRO CA
92243-2446
US

IV. Provider business mailing address

473 PARK AVE APT 2
EL CENTRO CA
92243-2446
US

V. Phone/Fax

Practice location:
  • Phone: 626-283-8926
  • Fax:
Mailing address:
  • Phone: 626-283-8926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberBACB1557858
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: