(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003395229
Provider Name: SHIRLEY EUNICE BRANCA VILLA
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 08/08/2018
Last Updated: 08/08/2018
Provider Practice Location
27720 JEFFERSON AVE STE 150
TEMECULA
CA
925902630
Practice Location Phone/Fax
Phone: 9516998640
Fax:
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
Phone: 8183452345
Fax: