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NPI Code Detail

MEDICARE: VANESSA ESCAMILLA

MEDICARE: VANESSA ESCAMILLA
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 : 1629748207
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA ESCAMILLA
Provider Business Mailing Address
First Line : 2342 PROFESSIONAL PKWY STE 300
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-6819
Country : US
Telephone Number : 805-979-9941
Fax Number :
Provider Business Practice Location Address
First Line : 100 N PACIFIC COAST HWY STE 1400
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245-5602
Country : US
Telephone Number : 661-258-3240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2021
Last Update Date : 10/23/2025

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Directions to “ VANESSA ESCAMILLA ” 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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