Healthcare Provider Details

I. General information

NPI: 1164332367
Provider Name (Legal Business Name): MILIANI AMAYA ELIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

2101 GEER RD STE 101A
TURLOCK CA
95382-2455
US

IV. Provider business mailing address

2101 GEER RD STE 101A
TURLOCK CA
95382-2455
US

V. Phone/Fax

Practice location:
  • Phone: 209-925-9500
  • Fax: 209-926-1744
Mailing address:
  • Phone: 209-925-9500
  • Fax: 209-926-1744

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: