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NPI Code Detail

MEDICARE: TAERICA HINKSON

MEDICARE: TAERICA HINKSON
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
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1760287965
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAERICA HINKSON
Provider Business Mailing Address
First Line : 2794 JESTER AVE
Second Line :
City : THERMAL
State : CA
Zip : 92274-8300
Country : US
Telephone Number : 951-412-9736
Fax Number :
Provider Business Practice Location Address
First Line : 11799 SEBASTIAN WAY STE 103
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-0708
Country : US
Telephone Number : 909-353-7547
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2025
Last Update Date : 04/16/2026

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