Healthcare Provider Details

I. General information

NPI: 1518552736
Provider Name (Legal Business Name): MRS. HILLARY BARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 03/09/2021
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N HILL AVE
PASADENA CA
91106-1949
US

IV. Provider business mailing address

1663 E COLUMBIA AVE
POMONA CA
91767-4562
US

V. Phone/Fax

Practice location:
  • Phone: 626-793-7700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number12043528
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: