Provider Demographics
NPI:1699232348
Name:VELOZ, MARIA CECILIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CECILIA
Last Name:VELOZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3608 EISENHOWER DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-5213
Mailing Address - Country:US
Mailing Address - Phone:951-440-6958
Mailing Address - Fax:
Practice Address - Street 1:32824 WOLF STORE RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-9672
Practice Address - Country:US
Practice Address - Phone:951-297-7460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst