Shacti Avila Ledezma
Behavior Technician in Riverbank, California
1003728601- Practice location
- 5501 Antique Rose Way, Riverbank, CA 95367-9505
- Phone
- 866-523-4268
- Fax
- —
- Last updated
- September 18, 2026
Shacti Avila Ledezma is a Behavior Technician based in Riverbank, CA. Shacti Avila Ledezma practices in Riverbank, CA. The NPI Number for Shacti Avila Ledezma is 1003728601. The current practice location address for Shacti Avila Ledezma is 5501 Antique Rose Way, Riverbank, CA 95367-9505 and can be reached out via phone at 866-523-4268.
Provider Profile Details
- NPI Number
- 1003728601
- Provider Name
- Shacti Avila Ledezma
- Provider Entity Type
- Individual
- Address
- 5501 Antique Rose Way, Riverbank, CA 95367-9505
- Phone Number
- 866-523-4268
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 18, 2026
- Last Update Date
- September 18, 2026
- Certification Date
- September 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5501 Antique Rose Way
Riverbank, CA 95367-9505 - City
- Riverbank
- State
- California
- Zip
- 95367-9505
- Phone Number
- 866-523-4268
Provider Business Mailing Address Details
- Address
- 850 Towbin Ave
Lakewood, NJ 08701-5928 - City
- Lakewood
- State
- NJ
- Zip
- 08701-5928
License Information
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Technicians near Riverbank, CA
View all Behavior Technicians in Riverbank →Frequently Asked Questions
What is the NPI number of Shacti Avila Ledezma?
The NPI number of Shacti Avila Ledezma is 1003728601. It was assigned on September 18, 2026 and is currently active in the NPPES registry.
What is the specialty of Shacti Avila Ledezma?
Shacti Avila Ledezma is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Shacti Avila Ledezma practice?
The practice location is 5501 Antique Rose Way, Riverbank, CA 95367-9505. The office can be reached at 866-523-4268 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003728601 directly on the NPPES registry website.