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

Itzel Heredia

Individual provider Behavior Technician · NPI 1679293278

Itzel Heredia is a Behavior Technician in Davis, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

1947 Galileo Ct Ste 101
Davis, CA 95618-4882
Phone: (530) 220-1450
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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 number1679293278
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 1, 2022
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022
Mailing address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807

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