EBONY ANDREA CUSTODIO
NPI 1679398291
Behavior Technician in San Diego, CA
About Ebony Andrea Custodio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONY ANDREA CUSTODIO (NPI 1679398291) is an individual behavior technician in San Diego, California, licensed in California (106S00000X) and active in the NPI registry since November 2024.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ebony Custodio's NPI number?
The NPI number for Ebony Custodio is 1679398291. It was assigned to this individual provider in the NPPES registry on November 19, 2024.
Where is Ebony Custodio located?
Ebony Custodio practices at 3655 Ruffin Rd Ste 100, San Diego, CA 92123. The listed phone number is (951) 813-4034.
What is Ebony Custodio's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Ebony Custodio was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.