Most Relevant Information
Provider Data
| NPI Number: | 1003577479 |
| Provider Name: | NATHAN JAMES EVANS NONE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/06/2022 |
| Last Updated: | 01/06/2022 |
Provider Practice Location
2155 CHICAGO AVE STE 203
RIVERSIDE
CA
925072209
Practice Location Phone/Fax
| Phone: | 9513576926 |
| Fax: | 8555682494 |
Provider Mailing Location
18726 S WESTERN AVE
GARDENA
CA
902483813
Provider Mailing Phone/Fax
| Phone: | 3108560800 |
| Fax: | 8555682494 |