Provider Demographics
NPI:1780466680
Name:BARRIGA GONZALEZ, ROCIO ALMA DELIA
Entity type:Individual
Prefix:
First Name:ROCIO ALMA
Middle Name:DELIA
Last Name:BARRIGA GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALMA
Other - Middle Name:B
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1925 PIN OAK LN
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95336-9138
Mailing Address - Country:US
Mailing Address - Phone:209-598-5912
Mailing Address - Fax:
Practice Address - Street 1:1925 PIN OAK LN
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336-9138
Practice Address - Country:US
Practice Address - Phone:209-598-5912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst