Healthcare Provider Details

I. General information

NPI: 1235754227
Provider Name (Legal Business Name): MARIA FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1989 AUGER PL
HEMET CA
92545-8313
US

IV. Provider business mailing address

1989 AUGER PL
HEMET CA
92545-8313
US

V. Phone/Fax

Practice location:
  • Phone: 951-315-4294
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-59141
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: