Zane Matthew Graham
Behavior Technician in Newport Beach, CA. Individual provider (NPI-1).
NPI number1104733161
StatusActive
Last updated in NPPESAug 26, 2026
Details
- NPI
- 1104733161
- Entity type
- Individual (NPI-1)
- Name
- Zane Matthew Graham
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2026
- Certification date
- Aug 25, 2026
- Last updated
- Aug 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
2555 Vista Del OroNewport Beach, CA 92660-3547
Phone 562-509-0933
Mailing address
6102 Costa Del ReyLong Beach, CA 90803-4808
Phone 562-355-4076
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