Provider Information
Last Updated : Aug 30 2024 11:08 AM
Vanessa R Avila
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Avila |
First Name Vanessa |
Middle Name R |
Address 1401 Fulton St Ste 200 |
State CA |
Zip Code 93721 |
Phone (559)348-9225 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender F |
Title BCBA |
Physician ID 226511 |
Language 1 Spanish |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1790029429 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID UNK12411 |
Email vanessa@esperanzats.com |
Board Certified No |
Office Language Spanish |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |
PHY CCT IND N |