Most Relevant Information
Provider Data
| NPI Number: | 1003545476 |
| Provider Name: | BAILEY MICHELLE RANCK |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/09/2022 |
| Last Updated: | 06/09/2022 |
Provider Practice Location
12443 LEWIS ST STE 201
GARDEN GROVE
CA
928404650
Practice Location Phone/Fax
| Phone: | 7147484440 |
| Fax: |
Provider Mailing Location
12443 LEWIS ST STE 201
GARDEN GROVE
CA
928404650
Provider Mailing Phone/Fax
| Phone: | 7147484440 |
| Fax: |