Healthcare Provider Details

I. General information

NPI: 1750147211
Provider Name (Legal Business Name): JASMIN MORALES BARRIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 ACORDE AVE
PALMDALE CA
93550-2572
US

IV. Provider business mailing address

3737 ACORDE AVE
PALMDALE CA
93550-2572
US

V. Phone/Fax

Practice location:
  • Phone: 818-294-2004
  • Fax: 661-449-0015
Mailing address:
  • Phone: 818-294-2004
  • Fax: 661-449-0015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: