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NPI Code Detail

MEDICARE: MRS. EDITH MARISELA YOQUE

MEDICARE: MRS. EDITH MARISELA YOQUE
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1518630300
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EDITH MARISELA YOQUE
Provider Business Mailing Address
First Line : 7422 GARVEY AVE UNIT 204
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2974
Country : US
Telephone Number : 626-531-6999
Fax Number : 626-531-6998
Provider Business Practice Location Address
First Line : 7422 GARVEY AVE UNIT 204
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2974
Country : US
Telephone Number : 626-531-6999
Fax Number : 626-531-6998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2021
Last Update Date : 05/08/2026

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Directions to “ MRS. EDITH MARISELA YOQUE ” Practice Location

Language Start Address Practice Location
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