MEDICARE: ANNA MARIA JAMES

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	101Y00000X	Counselor
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1861513897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MARIA JAMES

Provider Business Mailing Address
First Line	:	16782 VON KARMAN AVE STE 11
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92606-2417
Country	:	US
Telephone Number	:	855-223-7123
Fax Number	:	619-374-7134

Provider Business Practice Location Address
First Line	:	530 E HERNDON AVE STE 105
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-2990
Country	:	US
Telephone Number	:	855-223-7123
Fax Number	:	619-374-7134

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	06/27/2022

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Directions to “ ANNA MARIA JAMES ” Practice Location

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