Belle Skydancer
Behavior Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1114616786
StatusActive
Last updated in NPPESMay 1, 2023
Details
- NPI
- 1114616786
- Entity type
- Individual (NPI-1)
- Name
- Belle Skydancer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2023
- Certification date
- May 1, 2023
- Last updated
- May 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6370 Magnolia Ave Ste 340Riverside, CA 92506-2404
Phone 888-428-3223
Mailing address
4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537
Phone 888-428-3223 · Fax 323-866-1881
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