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

Individual provider Behavior Technician · NPI 1639749922

Samuel Carvajal Moreno Jr. is a Behavior Technician in El Cajon, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

700 N Johnson Ave Ste P
El Cajon, CA 92020-2589
Phone: (619) 441-1907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 310 3rd Ave Ste B8, Chula Vista, CA 91910-3990 — (855) 223-7123

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1639749922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

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