Iliana Daniella Fontes, MFT INTERN is a
Assistant Behavior Analyst based in Gardena, California. Iliana Daniella Fontes is licensed to practice in California (license number ) and her current practice location is
1411 W 190th St, Gardena, California. She can be reached at her office (for appointments etc.) via phone at
(310) 719-3908.
NPI number for Iliana Daniella Fontes is 1902212533 and her current mailing address is 1411 W 190th St, Gardena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902212533.
Healthcare Provider's Profile
Full Name | Iliana Daniella Fontes |
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Gender | Female |
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Speciality | Assistant Behavior Analyst |
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Location | 1411 W 190th St, Gardena, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902212533
- Provider Enumeration Date: 07/02/2014
- Last Update Date: 01/02/2024
Medical Identifiers
Medical identifiers for Iliana Daniella Fontes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902212533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | IMF 76395 (California) | Secondary |
106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Secondary |
106E00000X | Assistant Behavior Analyst | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Iliana Daniella Fontes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Iliana Daniella Fontes, MFT INTERN 1411 W 190th St, Gardena, CA 90248-4324 Ph: (310) 719-3908 | Iliana Daniella Fontes, MFT INTERN 1411 W 190th St, Gardena, CA 90248-4324 Ph: (310) 719-3908 |
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