Provider Demographics
NPI:1750988028
Name:FLORES, VIVIANA JULISSA (MSW)
Entity type:Individual
Prefix:
First Name:VIVIANA
Middle Name:JULISSA
Last Name:FLORES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7471 LARKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-1500
Mailing Address - Country:US
Mailing Address - Phone:925-828-2551
Mailing Address - Fax:
Practice Address - Street 1:7471 LARKDALE AVE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-1500
Practice Address - Country:US
Practice Address - Phone:925-828-2551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician