Most Relevant Information
Provider Data
NPI Number: | 1003373408 |
Provider Name: | LLARELI PALESTINO |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 02/22/2019 |
Last Updated: | 02/22/2019 |
Provider Practice Location
3303 HARBOR BLVD STE B8
COSTA MESA
CA
926261517
Practice Location Phone/Fax
Phone: | 7147866069 |
Fax: | 7148349822 |
Provider Mailing Location
3303 HARBOR BLVD STE B8
COSTA MESA
CA
926261517
Provider Mailing Phone/Fax
Phone: | 7147866069 |
Fax: | 7148349822 |