Kristie Renee Southern
Behavior Technician in Murrieta, CA. Individual provider (NPI-1).
NPI number1730786179
StatusActive
Last updated in NPPESOct 8, 2020
Details
- NPI
- 1730786179
- Entity type
- Individual (NPI-1)
- Name
- Kristie Renee Southern
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2020
- Certification date
- Oct 8, 2020
- Last updated
- Oct 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
25285 Madison Ave Ste 101&102Murrieta, CA 92562-8981
Phone 951-397-0086
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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All 677 Behavior Technician providers in Murrieta · All 3,959 providers in Murrieta
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