Healthcare Provider Details

I. General information

NPI: 1487562799
Provider Name (Legal Business Name): MARIA FERNANDA ARRIAGA FUENTES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 ELMIRA RD
VACAVILLE CA
95687-4655
US

IV. Provider business mailing address

407 AVALON WAY
SUISUN CITY CA
94585-1801
US

V. Phone/Fax

Practice location:
  • Phone: 707-908-9800
  • Fax:
Mailing address:
  • Phone:
  • 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: