Healthcare Provider Details

I. General information

NPI: 1447188669
Provider Name (Legal Business Name): BEATRIS BARRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14724 VENTURA BLVD STE 1105
SHERMAN OAKS CA
91403-3510
US

IV. Provider business mailing address

6945 HINDS AVE APT 2
NORTH HOLLYWOOD CA
91605-6018
US

V. Phone/Fax

Practice location:
  • Phone: 747-298-3480
  • Fax:
Mailing address:
  • Phone: 747-298-3480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: