Provider Demographics
NPI:1235852260
Name:NORALES, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:NORALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 RESERVOIR DR
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-2794
Mailing Address - Country:US
Mailing Address - Phone:714-931-8761
Mailing Address - Fax:
Practice Address - Street 1:2280 RESERVOIR DR
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-2794
Practice Address - Country:US
Practice Address - Phone:714-931-8761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty