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NPI Code Detail

MEDICARE: ARINDA BHANARAKSA

MEDICARE: ARINDA BHANARAKSA
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 : 1811546138
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARINDA BHANARAKSA
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number : 818-241-6853
Provider Business Practice Location Address
First Line : 21 RANCHO CAMINO DR
Second Line :
City : POMONA
State : CA
Zip : 91766-7019
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2019
Last Update Date : 01/27/2026

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Directions to “ ARINDA BHANARAKSA ” Practice Location

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