Itzia Adilene Basulto Montes
Itzia Adilene Basulto Montes is a Peer Specialist in Yucca Valley, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
58457 Twentynine Palms Hwy Ste 102AYucca Valley, CA 92284
Phone: (760) 228-9657
Fax: (442) 205-0060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence MPSS-VMFYNA (CA) |
|---|---|
| Day Training/Habilitation Specialist | Taxonomy 373H00000X |
Record details
| NPI number | 1790652162 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 21, 2025 |
| Last updated in NPPES | June 18, 2026 |
| Certification date | June 18, 2026 |
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