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

Ivan De la Rosa

Individual provider Behavior Technician · NPI 1548154099

Ivan De la Rosa is a Behavior Technician in Corona, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4740 Green River Rd Ste 313
Corona, CA 92878-9437
Phone: (502) 297-0133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1548154099
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2025
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address2635 Periwinkle Dr, San Bernardino, CA 92407-2287

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