Provider Demographics
NPI:1376226688
Name:AGRIAM, APRILLE ANDREA GARCIA
Entity Type:Individual
Prefix:
First Name:APRILLE ANDREA
Middle Name:GARCIA
Last Name:AGRIAM
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 1:31100 SKY BLUE WATER TRL
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-2700
Mailing Address - Country:US
Mailing Address - Phone:760-808-2948
Mailing Address - Fax:
Practice Address - Street 1:31100 SKY BLUE WATER TRL
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-2700
Practice Address - Country:US
Practice Address - Phone:760-808-2948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician