Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106S00000X | Behavior Technician | CA | |
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1033713748 |
---|---|
Provider Name | Catherine Barrientos |
First Address | Van Nuys, CA 91405-2003 |
Second Address | Palmdale, CA 93551-3037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2020 |
Last Update Date | 18/08/2021 |