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NPI Code Detail

MEDICARE: JUDITH PASCUAL

MEDICARE: JUDITH PASCUAL
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

General Provider Information

NPI Number : 1992663371
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH PASCUAL
Provider Business Mailing Address
First Line : 1075 CREEKSIDE RIDGE DR STE 280
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-3504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4040 DONALD DR
Second Line :
City : OLIVEHURST
State : CA
Zip : 95961-9381
Country : US
Telephone Number : 916-236-9981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ JUDITH PASCUAL ” Practice Location

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