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Mia Lee Grunauer

Behavior Technician in Laguna Hills, CA. Individual provider (NPI-1).

NPI number1316632441
StatusActive
Last updated in NPPESApr 5, 2023

Details

NPI
1316632441
Entity type
Individual (NPI-1)
Name
Mia Lee Grunauer
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 5, 2023
Certification date
Apr 5, 2023
Last updated
Apr 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

23041 Avenida De La Carlota Ste 175
Laguna Hills, CA 92653-1588

Phone 949-954-4422

Mailing address

23041 Avenida De La Carlota Ste 175
Laguna Hills, CA 92653-1588

Phone 949-954-4422

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