MEDICARE: ESMERALDA RESENDEZ

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1033637707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESMERALDA RESENDEZ

Provider Business Mailing Address
First Line	:	505 N BRAND BLVD STE 1000
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-3924
Country	:	US
Telephone Number	:	855-295-3276
Fax Number	:	818-241-6823

Provider Business Practice Location Address
First Line	:	6450 N DESERT BLVD STE B106
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-8524
Country	:	US
Telephone Number	:	915-308-0123
Fax Number	:	915-234-2970

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

Provider Enumeration Date	:	09/01/2017
Last Update Date	:	06/16/2025

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Directions to “ ESMERALDA RESENDEZ ” Practice Location

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