Look up the most recent NPI and PECOS records

Stephanie Ariana Acevedo-Moran

Marriage & Family Therapist

Behavioral Health & Social Service Providers

5212 Katella Ave Ste 103b, Los Alamitos, CA 90720-6828

PECOS Enrollment

This provider is enrolled in PECOS as STEPHANIE ACEVEDO.

Based on the most recent information from CMS, provider Stephanie Ariana Acevedo-Moran is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1013330620
Provider Type
Individual
Full Name
Acevedo-Moran, Stephanie Ariana
Title
Miss
Credential
LMFT, LAADC,BCBA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/3/2014
Last Updated
1/7/2025

Contact Information

Practice Location

5212 Katella Ave Ste 103b, Los Alamitos, CA 90720-6828

(714) 743-0704

Unlisted Fax

Mailing Location

10332 Florence Ave, Buena Park, CA 90620-4425

(714) 743-0704

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 98990 California
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License LR05740121 California
Code 103K00000X	Description Behavior Analyst Behavioral Health & Social Service Providers	License 1-14-10236 California

Stephanie Ariana Acevedo-Moran

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Read, Mary M

Fiorica, Shannon

Cleaver, Phillip

Ramirez, George Robert

Browning, Charles H

Willow Family Therapy & Wellness Inc

Trice, Jesse M

Fieldson, Mark

Gery, Mark R

Hill, Ryan