Most Relevant Information
Provider Data
| NPI Number: | 1003374240 |
| Provider Name: | MAGGIE BABOOMIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/06/2019 |
| Last Updated: | 03/07/2019 |
Provider Practice Location
12395 LEWIS ST STE 202
GARDEN GROVE
CA
928404694
Practice Location Phone/Fax
| Phone: | 7148676384 |
| Fax: |
Provider Mailing Location
1468 STANFORD
IRVINE
CA
926124639
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |