Provider Demographics
NPI:1588013502
Name:ARROYO, MARIA CONCEPCION
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CONCEPCION
Last Name:ARROYO
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 1:611 GATEWAY BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-7066
Mailing Address - Country:US
Mailing Address - Phone:310-882-7897
Mailing Address - Fax:929-384-7193
Practice Address - Street 1:611 GATEWAY BLVD STE 120
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-7066
Practice Address - Country:US
Practice Address - Phone:310-882-7897
Practice Address - Fax:929-384-7193
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARBT-20-121935106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician