Provider Demographics
NPI:1881588911
Name:ESCALANTE, ROXANA PERALTA (BS)
Entity type:Individual
Prefix:
First Name:ROXANA
Middle Name:PERALTA
Last Name:ESCALANTE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 N RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-5923
Mailing Address - Country:US
Mailing Address - Phone:877-323-4283
Mailing Address - Fax:
Practice Address - Street 1:18700 DECKER RD
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92570-7159
Practice Address - Country:US
Practice Address - Phone:951-624-6304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst