MEDICARE: LUIS SALAZAR PERALES BT

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	:	1831049139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS SALAZAR PERALES BT

Provider Business Mailing Address
First Line	:	31 RANCHO CAMINO DR FL 2
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91766-7030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 RANCHO CAMINO DR FL 2
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91766-7030
Country	:	US
Telephone Number	:	909-634-3974
Fax Number	:

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

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ LUIS SALAZAR PERALES BT” Practice Location

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