Provider Demographics
NPI:1437643244
Name:NORONHA, ADRIANA BARBARA WATANABE (BS)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:BARBARA WATANABE
Last Name:NORONHA
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 ARTHUR ST APT 210
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-3152
Mailing Address - Country:US
Mailing Address - Phone:650-804-4157
Mailing Address - Fax:
Practice Address - Street 1:610 BERCUT DR STE B
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-0115
Practice Address - Country:US
Practice Address - Phone:964-443-2479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician