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NPI Code Detail

MEDICARE: ROXANA AMPARO VENTURA

MEDICARE:   ROXANA  AMPARO VENTURA
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
1103K00000XBehavior AnalystY8423072CA

General Provider Information

NPI Number : 1568939296
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANA AMPARO VENTURA
Provider Business Mailing Address
First Line : 919 CORAL RIDGE CIR
Second Line :
City : RODEO
State : CA
Zip : 94572-1807
Country : US
Telephone Number : 510-478-8854
Fax Number :
Provider Business Practice Location Address
First Line : 919 CORAL RIDGE CIR
Second Line :
City : RODEO
State : CA
Zip : 94572-1807
Country : US
Telephone Number : 510-478-8854
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2018
Last Update Date : 10/31/2018

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Directions to “ ROXANA AMPARO VENTURA ” 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.