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NPI Code Detail

MEDICARE: RICARDO PILAR GODINA M.ED,, BCBA

MEDICARE: RICARDO PILAR GODINA M.ED,, BCBA
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 Analyst

General Provider Information

NPI Number : 1598199739
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO PILAR GODINA M.ED,, BCBA
Provider Business Mailing Address
First Line : 28245 AVENUE CROCKER STE 220
Second Line :
City : VALENCIA
State : CA
Zip : 91355-1201
Country : US
Telephone Number : 661-254-7086
Fax Number : 661-254-7108
Provider Business Practice Location Address
First Line : 28245 AVENUE CROCKER STE 220
Second Line :
City : VALENCIA
State : CA
Zip : 91355-1201
Country : US
Telephone Number : 661-254-7086
Fax Number : 661-254-7108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2013
Last Update Date : 07/29/2020

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Directions to “ RICARDO PILAR GODINA M.ED,, BCBA” Practice Location

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