Provider Demographics
NPI:1750885802
Name:DEGEATANO, CLAUDIA FERNANDA (BA, MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:FERNANDA
Last Name:DEGEATANO
Suffix:
Gender:F
Credentials:BA, MS, BCBA
Other - Prefix:MISS
Other - First Name:CLAUDIA
Other - Middle Name:FERNANDA
Other - Last Name:CAZARES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21600 OXNARD ST STE 1800
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7807
Mailing Address - Country:US
Mailing Address - Phone:818-345-2345
Mailing Address - Fax:
Practice Address - Street 1:1910 OLYMPIC BLVD # 140150
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5096
Practice Address - Country:US
Practice Address - Phone:925-433-0990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
CA1-22-62028103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician