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NPI Code Detail

MEDICARE: ADILENE FARIAS

MEDICARE:   ADILENE  FARIAS
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 : 1811841562
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADILENE FARIAS
Provider Business Mailing Address
First Line : 1283 W VICTORIA ST
Second Line :
City : RIALTO
State : CA
Zip : 92376-4764
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 31 RANCHO CAMINO DR
Second Line :
City : POMONA
State : CA
Zip : 91766-7030
Country : US
Telephone Number : 840-260-0857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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Directions to “ ADILENE FARIAS ” Practice Location

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