Healthcare Provider Details

I. General information

NPI: 1124961891
Provider Name (Legal Business Name): ERICA CATALINA PADILLA-RIVERA
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: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 STANDIFORD AVE STE 12-180
MODESTO CA
95350-6522
US

IV. Provider business mailing address

2906 MORRILL RD
RIVERBANK CA
95367-2881
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone:
  • 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: