Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Agustin Max Velasquez

Individual provider Behavior Technician · NPI 1891394649

Agustin Max Velasquez is a Behavior Technician in Riverbank, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone: (209) 863-2450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1891394649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 22, 2020
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing addressPo Box 399318, San Francisco, CA 94139-9318

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