Most Relevant Information
Provider Data
| NPI Number: | 1003527276 |
| Provider Name: | GLEN CHRISTOPHER FORONDA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | F4670758 |
Most Important Dates
| Enumeration Date: | 12/08/2022 |
| Last Updated: | 12/08/2022 |
Provider Practice Location
6392 YALE CIR
HUNTINGTON BEACH
CA
926472544
Practice Location Phone/Fax
| Phone: | 7144737019 |
| Fax: |
Provider Mailing Location
9844 RESEARCH DR STE 100
IRVINE
CA
926184381
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |