Most Relevant Information
Provider Data
| NPI Number: | 1003423146 |
| Provider Name: | EMILY DEE VI BEHAVIORAL THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2020 |
| Last Updated: | 09/23/2020 |
Provider Practice Location
1901 CARNEGIE AVE STE 1C
SANTA ANA
CA
927055504
Practice Location Phone/Fax
| Phone: | 8002734292 |
| Fax: | 7145966274 |
Provider Mailing Location
11037 WARNER AVE # 339
FOUNTAIN VALLEY
CA
927084007
Provider Mailing Phone/Fax
| Phone: | 8002734292 |
| Fax: | 7485966274 |