Edgar Quintana
Behavior Technician in Gardena, CA. Individual provider (NPI-1).
NPI number1982252995
StatusActive
Last updated in NPPESSep 3, 2019
Details
- NPI
- 1982252995
- Entity type
- Individual (NPI-1)
- Name
- Edgar Quintana
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2019
- Last updated
- Sep 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1508 W Artesia Sq Apt BGardena, CA 90248-4773
Phone 866-249-8775
Mailing address
1301 E Orangewood AveAnaheim, CA 92805-6807
Phone 800-249-1266
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