Irina Vakulenko
Behavior Technician in Huntington Beach, CA. Individual provider (NPI-1).
NPI number1164099677
StatusActive
Last updated in NPPESJun 7, 2021
Details
- NPI
- 1164099677
- Entity type
- Individual (NPI-1)
- Name
- Irina Vakulenko
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2021
- Certification date
- Jun 7, 2021
- Last updated
- Jun 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4952 Warner Ave Ste 300Huntington Beach, CA 92649-5506
Phone 714-587-9007
Mailing address
Po Box 931496Los Angeles, CA 90093-1496
Phone 323-350-0960
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