Anthony Correa
Behavior Technician in Fresno, CA. Individual provider (NPI-1).
NPI number1962075671
StatusActive
Last updated in NPPESNov 2, 2021
Details
- NPI
- 1962075671
- Entity type
- Individual (NPI-1)
- Name
- Anthony Correa
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2021
- Certification date
- Nov 2, 2021
- Last updated
- Nov 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
| 103K00000X | Behavior Analyst | 1962075671 | CA |
Practice location
6770 N West Ave Ste 105Fresno, CA 93711-1399
Phone 818-241-6780
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
Other practice locations
1420 Shaw Ave Ste 105
Clovis, CA 93611-4072
Clovis, CA 93611-4072
Phone 559-314-0623
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