Odalys Villalta
Behavior Technician in Orange, CA. Individual provider (NPI-1).
NPI number1235744707
StatusActive
Last updated in NPPESSep 11, 2020
Details
- NPI
- 1235744707
- Entity type
- Individual (NPI-1)
- Name
- Odalys Villalta
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2020
- Certification date
- Sep 11, 2020
- Last updated
- Sep 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
625 The City Dr S Ste 120Orange, CA 92868-3352
Phone 866-727-8274
Mailing address
625 The City Dr S Ste 120Orange, CA 92868-3352
Phone 866-727-8274
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