MEDICARE: EVA SUAREZ

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
1	106S00000X	Behavior Technician		CA

General Provider Information

NPI Number	:	1831032408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVA SUAREZ

Provider Business Mailing Address
First Line	:	102 ARDENDALE DR
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94014-1408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 S SEPULVEDA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-3540
Country	:	US
Telephone Number	:	703-997-0873
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “ EVA SUAREZ ” Practice Location

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