Most Relevant Information
Provider Data
| NPI Number: | 1003638115 |
| Provider Name: | ELSIE PEREA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/29/2024 |
| Last Updated: | 10/29/2024 |
Provider Practice Location
16192 SISKIYOU RD STE 4
APPLE VALLEY
CA
923071316
Practice Location Phone/Fax
| Phone: | 8555810100 |
| Fax: |
Provider Mailing Location
2080 N TUSTIN AVE STE B
SANTA ANA
CA
927057875
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |