Provider Demographics
NPI:1851106264
Name:FRANCO, KATHERINE IBARRA
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:IBARRA
Last Name:FRANCO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:IBARRA
Other - Last Name:FRANCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23490 LA BERTHA LN
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-8967
Mailing Address - Country:US
Mailing Address - Phone:951-230-5409
Mailing Address - Fax:
Practice Address - Street 1:27555 YNEZ RD STE 300
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-4678
Practice Address - Country:US
Practice Address - Phone:951-694-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician