Most Relevant Information
Provider Data
| NPI Number: | 1003490061 |
| Provider Name: | AMANDA DIZON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2021 |
| Last Updated: | 05/06/2021 |
Provider Practice Location
1901 E LAMBERT RD STE 106
LA HABRA
CA
906310502
Practice Location Phone/Fax
| Phone: | 5622980565 |
| Fax: |
Provider Mailing Location
1901 E LAMBERT RD STE 106
LA HABRA
CA
906310502
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |