Elise Vidal

Behavior Technician · El Sobrante, CA

Individual Active NPI

NPI number 1154201762

Practice location

3575 San Pablo Dam Rd Ste 11
El Sobrante, CA 94803-7205
Phone
(503) 780-0292

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NPI record

NPI
1154201762
Entity type
Individual (Type 1)
Enumeration date
September 4, 2025
Last updated
September 4, 2025
Certified
September 4, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

15130 Beatty St
San Leandro, CA 94579-1620

About Elise Vidal

Elise Vidal is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 3575 San Pablo Dam Rd Ste 11, El Sobrante, CA 94803-7205. The NPI number 1154201762 was assigned on September 4, 2025 and the record was last updated on September 4, 2025.

Frequently asked questions

What is the NPI number of Elise Vidal?

The NPI number is 1154201762.

What is the phone number of Elise Vidal?

The phone number listed for the practice location is (503) 780-0292.

Where is Elise Vidal located?

3575 San Pablo Dam Rd Ste 11, El Sobrante, CA 94803-7205.

What is the taxonomy code for Elise Vidal?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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