Provider Demographics
NPI:1881573749
Name:CARDONA, JULIETH KAREN
Entity type:Individual
Prefix:
First Name:JULIETH
Middle Name:KAREN
Last Name:CARDONA
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 1:9151 KENWOOD DR APT 8
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-2255
Mailing Address - Country:US
Mailing Address - Phone:626-652-9794
Mailing Address - Fax:
Practice Address - Street 1:1081 CAMINO DEL RIO S STE 103
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3543
Practice Address - Country:US
Practice Address - Phone:619-535-7644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician