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NPI Code Detail

MEDICARE: IVONNE BERENICE MORALES

MEDICARE: IVONNE BERENICE MORALES
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
2103K00000XBehavior Analyst1-23-67697CA

General Provider Information

NPI Number : 1962901827
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVONNE BERENICE MORALES
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 1000 CORPORATE CENTER DR STE 120
Second Line :
City : MONTEREY PARK
State : CA
Zip : 91754-7610
Country : US
Telephone Number : 626-495-9420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2018
Last Update Date : 09/25/2023

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Directions to “ IVONNE BERENICE MORALES ” Practice Location

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