Crystal Panuco
Behavior Analyst in Costa Mesa, CA. Individual provider (NPI-1).
NPI number1114689239
StatusActive
Last updated in NPPESOct 6, 2021
Details
- NPI
- 1114689239
- Entity type
- Individual (NPI-1)
- Name
- Crystal Panuco
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 6, 2021
- Certification date
- Oct 6, 2021
- Last updated
- Oct 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
3186 Airway Ave Ste ACosta Mesa, CA 92626-4650
Phone 714-881-0427 · Fax 714-327-0673
Mailing address
3186 Airway Ave Ste ACosta Mesa, CA 92626-4650
Phone 714-881-0427 · Fax 714-327-0673
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