Provider Demographics
NPI:1265317218
Name:TERCERO, ALBERTO (MASTER OF ARTS)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:TERCERO
Suffix:
Gender:M
Credentials:MASTER OF ARTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 GREEN RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92878-9185
Mailing Address - Country:US
Mailing Address - Phone:888-515-1793
Mailing Address - Fax:
Practice Address - Street 1:4740 GREEN RIVER RD
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92878-9185
Practice Address - Country:US
Practice Address - Phone:888-515-1793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst