Aspen Reann Kyles
Behavior Technician in Garden Grove, CA. Individual provider (NPI-1).
NPI number1255106910
StatusActive
Last updated in NPPESNov 21, 2023
Details
- NPI
- 1255106910
- Entity type
- Individual (NPI-1)
- Name
- Aspen Reann Kyles
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2023
- Certification date
- Nov 21, 2023
- Last updated
- Nov 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12437 Lewis St Unit 101Garden Grove, CA 92840-4673
Phone 657-444-9002
Mailing address
13322 Greentree AveGarden Grove, CA 92840-4614
Phone 714-887-7894
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