Most Relevant Information
Provider Data
| NPI Number: | 1003415761 |
| Provider Name: | ELISSA RAE APODACA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-141278 |
Most Important Dates
| Enumeration Date: | 10/22/2020 |
| Last Updated: | 10/22/2020 |
Provider Practice Location
26720 YNEZ CT
TEMECULA
CA
925914659
Practice Location Phone/Fax
| Phone: | 9518134034 |
| Fax: |
Provider Mailing Location
31963 CRECY DR
WINCHESTER
CA
925969138
Provider Mailing Phone/Fax
| Phone: | 9513452081 |
| Fax: |