Provider Demographics
NPI:1396319497
Name:MAGANA, EVELYN VIANNEY (BA)
Entity type:Individual
Prefix:MISS
First Name:EVELYN
Middle Name:VIANNEY
Last Name:MAGANA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
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Mailing Address - Street 1:5558 CALIFORNIA AVE STE 340
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0710
Mailing Address - Country:US
Mailing Address - Phone:661-326-1577
Mailing Address - Fax:
Practice Address - Street 1:10227 PINNACLE RIDGE AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3070
Practice Address - Country:US
Practice Address - Phone:661-330-0726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst