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Athena Mulder

Behavior Technician in Costa Mesa, CA. Individual provider (NPI-1).

NPI number1982173704
StatusActive
Last updated in NPPESNov 21, 2018

Details

NPI
1982173704
Entity type
Individual (NPI-1)
Name
Athena Mulder
Sex
Female
Sole proprietor
No
Enumeration date
Nov 21, 2018
Last updated
Nov 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1111 Baker St
Costa Mesa, CA 92626-4138

Phone 818-241-6780

Mailing address

206 N Jackson St Ste 206
Glendale, CA 91206-4330

Phone 818-241-6780

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