Provider Demographics
NPI:1225428394
Name:JUAREZ, RAYMOND JR (BCBA)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:
Last Name:JUAREZ
Suffix:JR
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9060 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91775-1332
Mailing Address - Country:US
Mailing Address - Phone:626-943-7772
Mailing Address - Fax:626-943-7730
Practice Address - Street 1:9060 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91775
Practice Address - Country:US
Practice Address - Phone:626-943-7772
Practice Address - Fax:626-943-7730
Is Sole Proprietor?:No
Enumeration Date:2015-01-28
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-14-17647103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst