Healthcare Provider Details

I. General information

NPI: 1801406293
Provider Name (Legal Business Name): EDUARDO SALINAS ORDAZ M.S., BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: EDDIE ORDAZ M.S., BCBA

II. Dates (important events)

Enumeration Date: 07/31/2020
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 LATHAM ST STE A
RIVERSIDE CA
92501-1735
US

IV. Provider business mailing address

1151 DOVE ST
NEWPORT BEACH CA
92660-2840
US

V. Phone/Fax

Practice location:
  • Phone: 951-363-0200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-70385
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: