Most Relevant Information
Provider Data
| NPI Number: | 1003556705 |
| Provider Name: | DAMIEKA LASLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2022 |
| Last Updated: | 03/31/2022 |
Provider Practice Location
12604 HIDDENCREEK WAY STE C
CERRITOS
CA
907032137
Practice Location Phone/Fax
| Phone: | 8552237123 |
| Fax: | 6193747134 |
Provider Mailing Location
16782 VON KARMAN AVE STE 11
IRVINE
CA
926062417
Provider Mailing Phone/Fax
| Phone: | 8552237123 |
| Fax: | 6193747134 |