Provider Demographics
NPI:1780576090
Name:NAVARRO PACHECO, JULIETA ALEJANDRA
Entity type:Individual
Prefix:
First Name:JULIETA
Middle Name:ALEJANDRA
Last Name:NAVARRO PACHECO
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 1:1033 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:BRAWLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92227-3468
Mailing Address - Country:US
Mailing Address - Phone:442-279-4325
Mailing Address - Fax:
Practice Address - Street 1:1033 WALNUT ST
Practice Address - Street 2:
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-3468
Practice Address - Country:US
Practice Address - Phone:442-279-4325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician