(800) 868-1923

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: