Most Relevant Information
Provider Data
NPI Number: | 1003587288 |
Provider Name: | ANGELA PERALES |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 09/27/2021 |
Last Updated: | 09/27/2021 |
Provider Practice Location
1450 N TUSTIN AVE
SANTA ANA
CA
927058640
Practice Location Phone/Fax
Phone: | 3039898169 |
Fax: |
Provider Mailing Location
1450 N TUSTIN AVE
SANTA ANA
CA
927058640
Provider Mailing Phone/Fax
Phone: | |
Fax: |