Provider Demographics
NPI:1275329468
Name:NERI, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:NERI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11566 HUNNEWELL AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE VIEW TERRACE
Mailing Address - State:CA
Mailing Address - Zip Code:91342-6443
Mailing Address - Country:US
Mailing Address - Phone:818-302-5719
Mailing Address - Fax:
Practice Address - Street 1:11566 HUNNEWELL AVE
Practice Address - Street 2:
Practice Address - City:LAKE VIEW TERRACE
Practice Address - State:CA
Practice Address - Zip Code:91342-6443
Practice Address - Country:US
Practice Address - Phone:818-302-5719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician