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

Raven Alexis Rosa

Individual provider Licensed Psychiatric Technician · NPI 1861361594

Raven Alexis Rosa is a Licensed Psychiatric Technician in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

4295 Brockton Ave
Riverside, CA 92501-3446
Phone: (951) 683-6596
Show map & directions

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

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 42465 (CA)

Record details

NPI number1861361594
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 31, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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