Healthcare Provider Details

I. General information

NPI: 1255198453
Provider Name (Legal Business Name): EMELIA ZARAGOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10604 N TRADEMARK PKWY STE 308
RANCHO CUCAMONGA CA
91730-5938
US

IV. Provider business mailing address

861 E COTTONWOOD ST
ONTARIO CA
91761-6862
US

V. Phone/Fax

Practice location:
  • Phone: 909-484-2848
  • Fax:
Mailing address:
  • Phone: 909-730-1345
  • 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: