Healthcare Provider Details

I. General information

NPI: 1871060962
Provider Name (Legal Business Name): LIZBETH YEPIZ-HERNANDEZ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2018
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 CALIFORNIA ST STE D
ESCALON CA
95320-1760
US

IV. Provider business mailing address

3920 RIDLON CT
CERES CA
95307-9353
US

V. Phone/Fax

Practice location:
  • Phone: 209-200-9481
  • Fax:
Mailing address:
  • Phone: 209-342-8622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2845200
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: