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

Lissette Michelle Juarez Bravo

Individual provider Behavior Technician · NPI 1295677664

Lissette Michelle Juarez Bravo is a Behavior Technician in San Mateo, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

400 Concar Dr Ste 4-134
San Mateo, CA 94402-2681
Phone: (650) 931-6300
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1295677664
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

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