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NPI Code Detail

MEDICARE: ALEXIS VELASQUEZ

MEDICARE: ALEXIS VELASQUEZ
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 TechnicianCA

General Provider Information

NPI Number : 1164373593
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS VELASQUEZ
Provider Business Mailing Address
First Line : 3263 PAMELA AVE
Second Line :
City : ROSAMOND
State : CA
Zip : 93560-7739
Country : US
Telephone Number : 661-874-3033
Fax Number :
Provider Business Practice Location Address
First Line : 44480 20TH ST W
Second Line :
City : LANCASTER
State : CA
Zip : 93534-2714
Country : US
Telephone Number : 949-480-2557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ ALEXIS VELASQUEZ ” Practice Location

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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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