Individual
EDWIN VERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
43520 DIVISION ST, LANCASTER, CA 93535-4089
(661) 266-1210
Mailing address
43520 DIVISION ST, LANCASTER, CA 93535-4089
(661) 266-1210
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-332176
CA
225400000X
Rehabilitation Practitioner
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDICAL
CA
Enumeration date
08/28/2024
Last updated
12/03/2025
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