Individual provider · Type 1 NPI

Tigerlily Maynard

Student in an Organized Health Care Education/Training Program · Pomona, CA

NPI number 1053194142 Active

Practice location

845 E Arrow Hwy
Pomona, CA 91767-2535

Call (909) 624-1233 Map

Mailing address

PO Box 33568
San Diego, CA 92163-3568

Other practice locations

  • 5333 Mission Center Rd Ste 110, San Diego, CA 92108-1347 · (855) 223-7123

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

183 other providers at this address

Other student in an organized health care education/training program providers in Pomona

See all in Pomona →

About NPI 1053194142

Tigerlily Maynard's National Provider Identifier is 1053194142, issued on Aug 14, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pomona, CA. The record was last updated on Oct 16, 2025.