Julissa Abigail Amaya
Behavior Technician in Newport Beach, CA. Individual provider (NPI-1).
NPI number1013649854
StatusActive
Last updated in NPPESJun 29, 2022
Details
- NPI
- 1013649854
- Entity type
- Individual (NPI-1)
- Name
- Julissa Abigail Amaya
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2022
- Certification date
- Jun 29, 2022
- Last updated
- Jun 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1151 Dove StNewport Beach, CA 92660-2840
Phone 949-630-8290
Mailing address
1151 Dove StNewport Beach, CA 92660-2840
Phone 949-630-8290
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