Healthcare Provider Details

I. General information

NPI: 1750147575
Provider Name (Legal Business Name): ASHER NOEL ARVINGER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4688 ONTARIO MILLS PKWY
ONTARIO CA
91764-5104
US

IV. Provider business mailing address

619 E PALM AVE
REDLANDS CA
92374-6287
US

V. Phone/Fax

Practice location:
  • Phone: 909-476-5747
  • Fax:
Mailing address:
  • Phone: 760-220-4810
  • 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: