Provider Demographics
NPI:1730073701
Name:PICENO, CHRISTIAN EDUARDO
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:EDUARDO
Last Name:PICENO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1146 HEBER AVE APT E21146
Mailing Address - Street 2:
Mailing Address - City:HEBER
Mailing Address - State:CA
Mailing Address - Zip Code:92249-9761
Mailing Address - Country:US
Mailing Address - Phone:760-909-0230
Mailing Address - Fax:
Practice Address - Street 1:1146 HEBER AVE APT E21146
Practice Address - Street 2:
Practice Address - City:HEBER
Practice Address - State:CA
Practice Address - Zip Code:92249-9761
Practice Address - Country:US
Practice Address - Phone:760-909-0230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst