NPI 1275394348 · live from the CMS NPI Registry
Andrea Lisa Acevedo
Behavior Analyst in San Bernardino, CA. National Provider Identifier 1275394348, active.
NPI record
| NPI | 1275394348 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 18030 Deerberry Way, San Bernardino, San Bernardino, CA 92407 |
| Practice phone | 909-996-8378 |
| Enumerated | January 17, 2024 |
| Last updated | January 17, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-23-67188 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.