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

Maria Renee Provencio

Individual provider Behavior Analyst · NPI 1023672615

Maria Renee Provencio is a Behavior Analyst in Anaheim, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

2400 E Katella Ave Ste 800
Anaheim, CA 92806-5955
Phone: (714) 858-3590
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 103K00000X (CA)

Record details

NPI number1023672615
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

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