Most Relevant Information
Provider Data
| NPI Number: | 1003372699 |
| Provider Name: | EMILY VIZCARRA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/19/2019 |
| Last Updated: | 12/15/2022 |
Provider Practice Location
5005 CANYON CREST DR
RIVERSIDE
CA
925077721
Practice Location Phone/Fax
| Phone: | 9513464860 |
| Fax: |
Provider Mailing Location
225 NORTHSHORE DR
LAKE ELSINORE
CA
925301816
Provider Mailing Phone/Fax
| Phone: | 9519651300 |
| Fax: |