Most Relevant Information
Provider Data
| NPI Number: | 1003590191 |
| Provider Name: | ANGELISSE KORINA CHAVEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/09/2023 |
| Last Updated: | 06/09/2023 |
Provider Practice Location
1820 W ORANGEWOOD AVE STE 110
ORANGE
CA
928685056
Practice Location Phone/Fax
| Phone: | 7146962862 |
| Fax: | 7142429308 |
Provider Mailing Location
1820 W ORANGEWOOD AVE STE 110
ORANGE
CA
928685056
Provider Mailing Phone/Fax
| Phone: | 7146962862 |
| Fax: | 7142429308 |