Provider Demographics
NPI:1881264554
Name:APOSTOL, ANDREA (NONE)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:APOSTOL
Suffix:
Gender:F
Credentials:NONE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10912 JERSEY BLVD
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-5102
Mailing Address - Country:US
Mailing Address - Phone:909-466-7789
Mailing Address - Fax:
Practice Address - Street 1:10912 JERSEY BLVD
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5102
Practice Address - Country:US
Practice Address - Phone:909-466-7789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician