Individual provider · Type 1 NPI

Keyla Gisselle Fajardo

Community/Behavioral Health Agency · Newport Beach, CA

NPI number 1053206524 Active

Practice location

1151 Dove St
Newport Beach, CA 92660-2840

Call (949) 630-8290 Map

Mailing address

37548 Bankside Dr
Cathedral City, CA 92234-7844

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1053206524

Keyla Gisselle Fajardo's National Provider Identifier is 1053206524, issued on Jun 12, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Newport Beach, CA. The record was last updated on Jun 12, 2025.