Most Relevant Information
Provider Data
| NPI Number: | 1003574187 |
| Provider Name: | MALAYA FAITH DODSON |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/06/2021 |
| Last Updated: | 12/06/2021 |
Provider Practice Location
3186 AIRWAY AVE STE A
COSTA MESA
CA
926264650
Practice Location Phone/Fax
| Phone: | 7148810427 |
| Fax: |
Provider Mailing Location
3186 AIRWAY AVE STE A
COSTA MESA
CA
926264650
Provider Mailing Phone/Fax
| Phone: | 7148810427 |
| Fax: | 7143270673 |