Healthcare Provider Details

I. General information

NPI: 1801638291
Provider Name (Legal Business Name): AMON ASSEMIAN VIEIRA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2297 REDHAVEN ST
LINDA CA
95901-8376
US

IV. Provider business mailing address

990 KLAMATH LN STE 9
YUBA CITY CA
95993-8978
US

V. Phone/Fax

Practice location:
  • Phone: 707-553-3528
  • Fax:
Mailing address:
  • Phone: 916-413-4153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: