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NPI Code Detail

MEDICARE: LORENA SALAZAR BCBA

MEDICARE: LORENA SALAZAR BCBA
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 TechnicianCA
2103K00000XBehavior Analyst1-25-80632CA

General Provider Information

NPI Number : 1912504259
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORENA SALAZAR BCBA
Provider Business Mailing Address
First Line : 63 PINEWOOD
Second Line :
City : IRVINE
State : CA
Zip : 92604-3239
Country : US
Telephone Number : 949-929-0129
Fax Number :
Provider Business Practice Location Address
First Line : 17203 PINTADO
Second Line :
City : IRVINE
State : CA
Zip : 92618-0291
Country : US
Telephone Number : 949-459-4622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2020
Last Update Date : 05/05/2025

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