Amanda Loeak
Behavior Technician in Ontario, CA. Individual provider (NPI-1).
NPI number1447922430
StatusActive
Last updated in NPPESSep 29, 2021
Details
- NPI
- 1447922430
- Entity type
- Individual (NPI-1)
- Name
- Amanda Loeak
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2021
- Certification date
- Sep 29, 2021
- Last updated
- Sep 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4688 Ontario Mills PkwyOntario, CA 91764-5104
Phone 714-834-1111
Mailing address
4688 Ontario Mills PkwyOntario, CA 91764-5104
Phone 714-834-1111
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