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

Michelle Servin, R1193480315

Individual provider Behavior Technician · NPI 1073968780

Michelle Servin, R1193480315 is a Behavior Technician in Corona, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

802 Magnolia Ave Ste 202
Corona, CA 92879-3144
Phone: (951) 686-2020
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1073968780
Entity typeIndividual (Type 1)
GenderFemale
Credentials R1193480315
Sole proprietorNo
NPI enumeratedMay 1, 2016
Last updated in NPPESAugust 27, 2020
Certification dateAugust 27, 2020

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