Provider Information
 Last Updated :  Sep 5 2025 2:28 PM	
	Stefanie Velasquez
| City Fresno                    | 
| Group HEALTH NET DIRECT FFS MEDI-CAL                                                                       | 
| Specialty Qualified Autism Svc Provider                      | 
| Last Name Velasquez                                                          | 
| First Name Stefanie                                           | 
| Address 5140 N Fruit Ave                         | 
| State CA | 
| Zip Code 93711     | 
| Phone (877)242-2884  | 
| Hours Mon - Fri 8:30 AM - 6:30 PM                                                                                              | 
| Gender F | 
| Title M.A.    | 
| Physician ID   915267        | 
| Section Number A | 
| County FRESNO | 
| Accepting New Patient Yes | 
| PPG NAME HEALTH NET DIRECT FFS MEDI-CAL                                         | 
| PPG ID MHDML | 
| NPI Number   1568915163  | 
| License ID BCB54467           | 
| Email credentialing@bia4autism.com                                 | 
| Board Certified No | 


