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NPI Code Detail

MEDICARE: VANESSA MONIC NAVA

MEDICARE: VANESSA MONIC NAVA
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 Technician

General Provider Information

NPI Number : 1780154880
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA MONIC NAVA
Provider Business Mailing Address
First Line : 100 PARK PLAZA BLVD APT 1104
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-6830
Country : US
Telephone Number : 619-608-3420
Fax Number :
Provider Business Practice Location Address
First Line : 10680 TREENA ST STE 170
Second Line :
City : SAN DIEGO
State : CA
Zip : 92131-2443
Country : US
Telephone Number : 858-432-4749
Fax Number : 858-432-4750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2018
Last Update Date : 11/30/2018

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Directions to “ VANESSA MONIC NAVA ” 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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