BIANCA MORENO (NPI# 1639628217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639628217 |
| Entity Type | Individual |
| Full Name | BIANCA MORENO |
| Practice Address |
4411 E Kings Canyon Rd Bldg 319 Fresno CA 93702-3604 |
| Mailing Address |
1335 E Vassar Ave Fresno CA 93704-6232 |
| Practice Telephone | 5596002382 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623071 | Bianca Moreno | Behavior Technician | 7529 Standish Pl Ste 355, Derwood, MD 20855-2733 | 2020-09-15 |
| Street Address |
4411 E KINGS CANYON RD BLDG 319 |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396948469 | Elizabeth A Stone | Marriage & Family Therapist | 4411 E Kings Canyon Rd Bldg 319, Fresno, CA 93702-3604 | 2007-06-07 |
| 1629567276 | Arselia Puga | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd Bldg 319, Fresno, CA 93702-3604 | 2018-05-08 |
| 1134673270 | Susan Valenzuela | Registered Nurse | 4411 E Kings Canyon Rd Bldg 319, Fresno, CA 93702-3604 | 2016-08-05 |
| 1568712321 | Elizabeth Williams | Counselor | 4411 E Kings Canyon Rd Bldg 319, Fresno, CA 93702-3604 | 2012-09-19 |
| 1851670756 | Philip Clarke Brewer | Marriage & Family Therapist | 4411 E Kings Canyon Rd Bldg 319, Fresno, CA 93702-3604 | 2011-08-09 |
| 1053649186 | Patrick Lawrence Guillen | Counselor | 4411 E Kings Canyon Rd Bldg 319, Fresno, CA 93702-3604 | 2009-12-01 |
| 1649503343 | Lindsay B Cho | Counselor | 4411 E Kings Canyon Rd Bldg 319, Fresno, CA 93702-3604 | 2009-09-12 |
| 1538396882 | Jose Carlos Martinez Gutierrez | Marriage & Family Therapist | 4411 E Kings Canyon Rd Bldg 319, Fresno, CA 93702-3604 | 2009-06-14 |
| 1912143215 | Kasandra Marie Gonzalez | Specialist | 4411 E Kings Canyon Rd Bldg 319, Fresno, CA 93702-3604 | 2008-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012658 | Susan Vue | Counselor | 4855 E King Cyn Rd Ste 105, Fresno, CA 93727-3811 | 2020-08-06 |
| 1104445543 | Chavon Cecily Williams | Counselor | 4006 Redwood Hill Ct, Fresno, TX 77545-8726 | 2020-04-15 |
| 1003444530 | Healing Hopes, Inc. | Counselor | 1960 N Gateway Blvd, Fresno, CA 93727-1604 | 2020-03-30 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1730726407 | Martha Lynn Hosier | Counselor | 1616 W Shaw Ave Ste B2, Fresno, CA 93711-3513 | 2019-12-02 |
| 1598228439 | Bayon B Harris Sr. | Counselor | 4111 W Princeton Ave, Fresno, CA 93722-6810 | 2019-04-08 |
| 1205392008 | Andrew Marshall Davis | Counselor | 320 E Warner Ave, Fresno, CA 93710-3711 | 2019-02-16 |
| 1902375637 | Andrew Arroyo | Counselor | 1925 E Rialto Ave, Fresno, CA 93726-0229 | 2018-11-26 |
| 1265917504 | Romaine Ornelia Desclos | Counselor | 6435 N Palm Ave Ste 103, Fresno, CA 93704-1086 | 2018-10-02 |
| 1508357773 | Armando Mendoza | Counselor | 3138 W Dakota Ave Spc 215, Fresno, CA 93722-4991 | 2018-05-23 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.