Provider Demographics
NPI:1417455965
Name:ARELLANO, YUVITZA (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:YUVITZA
Middle Name:
Last Name:ARELLANO
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:YUVITZA
Other - Middle Name:
Other - Last Name:RUIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12116 PIONEER BLVD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-1773
Mailing Address - Country:US
Mailing Address - Phone:562-443-2203
Mailing Address - Fax:
Practice Address - Street 1:12116 PIONEER BLVD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-1773
Practice Address - Country:US
Practice Address - Phone:562-443-2203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARBT-17-45305106S00000X
CA1-20-42072103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician