| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LARA PINEDA | 1760118715 | 2022-07-30 |
Lara Pineda is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760118715. Registration indicates Lara Pineda is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Lara Pineda |
| Practice Office Address | 2009 LAS ESTRELLAS CT CAMARILLO, CA US |
| Practice Office Telephone | 8054074533 |
| Mailing Address | 4348 AVENIDA AMELGADO THOUSAND OAKS, CA 913606803 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |