Provider Demographics
NPI:1043026727
Name:SERRANO, ARCELIA MONIQUE (BA)
Entity type:Individual
Prefix:
First Name:ARCELIA
Middle Name:MONIQUE
Last Name:SERRANO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:184 HIGH ST STE 701
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-3025
Mailing Address - Country:US
Mailing Address - Phone:805-658-7827
Mailing Address - Fax:805-650-1385
Practice Address - Street 1:4455 MURPHY CANYON RD STE 209
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4379
Practice Address - Country:US
Practice Address - Phone:619-407-7180
Practice Address - Fax:619-393-0807
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician