Jose A Fonseca
Behavior Technician in Costa Mesa, CA. Individual provider (NPI-1).
NPI number1619813045
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1619813045
- Entity type
- Individual (NPI-1)
- Name
- Jose A Fonseca
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2026
- Certification date
- Apr 27, 2026
- Last updated
- Apr 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3186 Airway AveSuite A
Costa Mesa, CA 92626
Phone 714-881-0427
Mailing address
3186 Airway AveSuite A
Costa Mesa, CA 92626
Phone 714-881-0427
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