Provider Demographics
NPI:1720749823
Name:TURCIOS, ARIS ABIGAIL
Entity Type:Individual
Prefix:
First Name:ARIS
Middle Name:ABIGAIL
Last Name:TURCIOS
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 1:20998 CAYUGA RD
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-6408
Mailing Address - Country:US
Mailing Address - Phone:323-921-8735
Mailing Address - Fax:
Practice Address - Street 1:9464 9TH AVE STE A
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-3483
Practice Address - Country:US
Practice Address - Phone:442-242-6486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-01
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty