Lucinda Bahena, Licensed Psych Tech
Licensed Psychiatric Technician in Orange, CA. Individual provider (NPI-1).
NPI number1245045186
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1245045186
- Entity type
- Individual (NPI-1)
- Name
- Miss Lucinda Bahena
- Credential
- Licensed Psych Tech
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2025
- Certification date
- Feb 9, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 42805 | CA | Yes |
Practice location
401 S Tustin St Bldg DOrange, CA 92866-2550
Phone 714-289-3936
Mailing address
164 Lantana DrStanton, CA 90680-4014
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