Active NPIIndividual provider

Juan C Bravo

Behavior Technician in Riverbank, California

NPI Number1508640293
Practice location
5501 Antique Rose Way, Riverbank, CA 95367-9505
Fax
—
Last updated
August 23, 2023

Juan Carlos Bravo is a Behavior Technician based in Riverbank, CA. Juan Carlos Bravo practices in Riverbank, CA. The NPI Number for Juan Carlos Bravo is 1508640293. The current practice location address for Juan Carlos Bravo is 5501 Antique Rose Way, Riverbank, CA 95367-9505 and can be reached out via phone at 833-599-2560.

Provider Profile Details

NPI Number
1508640293
Provider Name
Juan Carlos Bravo
Provider Entity Type
Individual
Gender
Male
Address
5501 Antique Rose Way, Riverbank, CA 95367-9505
Phone Number
833-599-2560
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
August 23, 2023
Last Update Date
August 23, 2023
Certification Date
August 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5501 Antique Rose Way
Riverbank, CA 95367-9505
Zip
95367-9505
Phone Number
833-599-2560
Riverbank, CA 95367Get directions →

Provider Business Mailing Address Details

Address
850 Towbin Ave
Lakewood, NJ 08701-5928
City
Lakewood
State
NJ
Zip
08701-5928
Phone Number
833-599-2560

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Juan C Bravo?

The NPI number of Juan C Bravo is 1508640293. It was assigned on August 23, 2023 and is currently active in the NPPES registry.

What is the specialty of Juan C Bravo?

Juan C Bravo is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Juan C Bravo practice?

The practice location is 5501 Antique Rose Way, Riverbank, CA 95367-9505. The office can be reached at 833-599-2560 (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 1508640293 directly on the NPPES registry website.

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