Provider Demographics
NPI:1609762954
Name:VELASCO, DULCE YANETH
Entity type:Individual
Prefix:
First Name:DULCE
Middle Name:YANETH
Last Name:VELASCO
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 1:6809 SAN BRUNO DR
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-3731
Mailing Address - Country:US
Mailing Address - Phone:657-663-9708
Mailing Address - Fax:
Practice Address - Street 1:6061 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-2219
Practice Address - Country:US
Practice Address - Phone:714-251-6561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician