Most Relevant Information
Provider Data
| NPI Number: | 1003507591 |
| Provider Name: | GHANDY SORIA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2023 |
| Last Updated: | 05/16/2023 |
Provider Practice Location
713 W COMMONWEALTH AVE STE C
FULLERTON
CA
928321612
Practice Location Phone/Fax
| Phone: | 9095250806 |
| Fax: |
Provider Mailing Location
247 PREBLE DR
TUSTIN
CA
927803719
Provider Mailing Phone/Fax
| Phone: | 9095250806 |
| Fax: |