DESTINY PROVENCIO

Behavior Technician

NPI: 1790505824Individual

Specialties, Licenses & Credentials

Behavior TechnicianPrimary

Behavior Technician

Code: 106S00000X

Contact & Hours

Address: 1063 MCGAW AVE STE 100
IRVINE, CA 92614
Phone: (949) 594-6582

Quick Facts

NPI: 1790505824
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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