Individual provider · Type 1 NPI

Raven Alexis Rosa

Licensed Psychiatric Technician · Riverside, CA

NPI number 1861361594 Active

Practice location

4295 Brockton Ave
Riverside, CA 92501-3446

Call (951) 683-6596 Map

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X42465 (CA)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1861361594

Raven Alexis Rosa's National Provider Identifier is 1861361594, issued on Oct 31, 2025. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Riverside, CA. The record was last updated on Nov 5, 2025.