Elizabet Antonio
Day Training/Habilitation Specialist in Long Beach, CA. Individual provider (NPI-1).
NPI number1023750635
StatusActive
Last updated in NPPESJun 4, 2025
Details
- NPI
- 1023750635
- Entity type
- Individual (NPI-1)
- Name
- Elizabet Antonio
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2022
- Certification date
- Jun 4, 2025
- Last updated
- Jun 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
4500 E Pacific Coast Hwy Ste 100Long Beach, CA 90804-3233
Phone 562-344-1140
Mailing address
4500 E Pacific Coast Hwy Ste 100Long Beach, CA 90804-3233
Phone 562-344-1140
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