RAVEN ROSA

Licensed Psychiatric Technician

Active Individual
NPI: 1861361594

Practice Address

4295 BROCKTON AVE
Riverside, CA 92501

Phone: (951) 683-6596

Specialties

Specialty Code Primary License
Licensed Psychiatric Technician 167G00000X Yes 42465 (CA)

Frequently Asked Questions

NPI 1861361594 is the National Provider Identifier for RAVEN ROSA, a Licensed Psychiatric Technician provider located in Riverside, CA. This NPI was enumerated on October 31, 2025.
RAVEN ROSA practices at 4295 BROCKTON AVE, Riverside, CA 92501.

Quick Facts

NPI
1861361594
Type
Individual
Enumerated
Oct 31, 2025
Last Updated
Nov 5, 2025

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