Mallory Beth Fehrensen
Behavior Technician in Temecula, CA. Individual provider (NPI-1).
NPI number1417455270
StatusActive
Last updated in NPPESJan 26, 2018
Details
- NPI
- 1417455270
- Entity type
- Individual (NPI-1)
- Name
- Mallory Beth Fehrensen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2018
- Last updated
- Jan 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
28991 Old Town Front St Ste 208Temecula, CA 92590-5804
Phone 858-444-8823
Mailing address
28991 Old Town Front St Ste 208Temecula, CA 92590-5804
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