MEDICARE: NATALIA MALDONADO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1003531641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIA MALDONADO

Provider Business Mailing Address
First Line	:	12021 WILMINGTON AVE STE 2B
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90059-3019
Country	:	US
Telephone Number	:	213-222-1681
Fax Number	:

Provider Business Practice Location Address
First Line	:	12021 WILMINGTON AVE STE 2B
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90059-3019
Country	:	US
Telephone Number	:	213-222-1681
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2022
Last Update Date	:	03/09/2026

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Directions to “ NATALIA MALDONADO ” Practice Location

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