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Peter Joseph Pagano

Behavior Technician in Garden Grove, CA. Individual provider (NPI-1).

NPI number1982492484
StatusActive
Last updated in NPPESApr 25, 2025

Details

NPI
1982492484
Entity type
Individual (NPI-1)
Name
Peter Joseph Pagano
Sex
Male
Sole proprietor
No
Enumeration date
Apr 25, 2025
Certification date
Apr 25, 2025
Last updated
Apr 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

12437 Lewis St Ste 100
Garden Grove, CA 92840-4651

Phone 805-387-4601

Mailing address

12437 Lewis St Ste 100
Garden Grove, CA 92840-4651

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