Healthcare Provider Details

I. General information

NPI: 1760351670
Provider Name (Legal Business Name): STEVEN ESCALERA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9355 E STOCKTON BLVD STE 100
ELK GROVE CA
95624-9476
US

IV. Provider business mailing address

1717 S ST APT 346
SACRAMENTO CA
95811-6790
US

V. Phone/Fax

Practice location:
  • Phone: 561-843-9774
  • Fax:
Mailing address:
  • Phone: 561-843-9774
  • 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: