Most Relevant Information
Provider Data
| NPI Number: | 1003374067 |
| Provider Name: | RHONDA WEAVER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/08/2019 |
| Last Updated: | 12/11/2019 |
Provider Practice Location
3554 BUSINESS PARK DR STE A
COSTA MESA
CA
926261423
Practice Location Phone/Fax
| Phone: | 7142924475 |
| Fax: |
Provider Mailing Location
12792 VALLEY VIEW ST STE 205
GARDEN GROVE
CA
928452510
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |