Ava Raie Gevisser
Behavior Technician in Garden Grove, CA. Individual provider (NPI-1).
NPI number1831874155
StatusActive
Last updated in NPPESJun 15, 2023
Details
- NPI
- 1831874155
- Entity type
- Individual (NPI-1)
- Name
- Ava Raie Gevisser
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2023
- Certification date
- Jun 15, 2023
- Last updated
- Jun 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12062 Valley View StGarden Grove, CA 92845-1737
Phone 562-356-8600
Mailing address
11522 Martha Ann DrLos Alamitos, CA 90720-4004
Phone 818-521-3127
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All 2,260 Behavior Technician providers in Garden Grove · All 5,773 providers in Garden Grove
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