Provider Information

Last Updated : Aug 14 2024 4:02 PM

Vanessa R Avila




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Avila
First Name
Vanessa
Middle Name
R
Address
323 W Cromwell Ave Ste 114
State
CA
Zip Code
93711
Phone
(559)348-9225
Hours
Mon, Wed, Thu 8:00 AM - 7:00 PM Tue 8:00 AM - 5:00 PM Fri 8:00 AM - 4:00 PM
Gender
F
Title
BCBA
Physician ID
226511
Language 1
Spanish
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1790029429
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
UNK12411
Email
vanessa@esperanzats.com
Board Certified
No
Self Access Flag
Self Reported Data
PHY CCT IND
N

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