Provider Demographics
NPI:1518735414
Name:CIBRIAN, AHTZIRI (BACHELORS)
Entity Type:Individual
Prefix:MISS
First Name:AHTZIRI
Middle Name:
Last Name:CIBRIAN
Suffix:
Gender:F
Credentials:BACHELORS
Other - Prefix:MISS
Other - First Name:AHTZIRI
Other - Middle Name:
Other - Last Name:CIBRIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BACHELORS
Mailing Address - Street 1:19817 SMITH RD
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92570-9305
Mailing Address - Country:US
Mailing Address - Phone:714-273-1226
Mailing Address - Fax:
Practice Address - Street 1:6876 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2860
Practice Address - Country:US
Practice Address - Phone:760-992-3039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-20
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician