Most Relevant Information
Provider Data
| NPI Number: | 1003538604 |
| Provider Name: | KRISTA RAE MORENO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/12/2022 |
| Last Updated: | 09/12/2022 |
Provider Practice Location
16480 HARBOR BLVD STE 202
FOUNTAIN VALLEY
CA
927081361
Practice Location Phone/Fax
| Phone: | 9493091378 |
| Fax: |
Provider Mailing Location
16480 HARBOR BLVD STE 202
FOUNTAIN VALLEY
CA
927081361
Provider Mailing Phone/Fax
| Phone: | 9493091378 |
| Fax: |