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NPI Code Detail

MEDICARE: JOAQUIN VERA

MEDICARE: JOAQUIN VERA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1063370328
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAQUIN VERA
Provider Business Mailing Address
First Line : 295 89TH ST STE 306
Second Line :
City : DALY CITY
State : CA
Zip : 94015-1656
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 COOPER ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-4526
Country : US
Telephone Number : 877-264-6747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “ JOAQUIN VERA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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