Healthcare Provider Details

I. General information

NPI: 1114413465
Provider Name (Legal Business Name): LUCIA OROZCO BCBA, M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

591 WATT AVE STE 120
SACRAMENTO CA
95864-5027
US

IV. Provider business mailing address

591 WATT AVE STE 120
SACRAMENTO CA
95864-5027
US

V. Phone/Fax

Practice location:
  • Phone: 916-448-2050
  • Fax:
Mailing address:
  • Phone: 916-448-2050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-76541
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-18-48859
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: