Most Relevant Information
Provider Data
| NPI Number: | 1003643644 |
| Provider Name: | SELENE HUNTER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/17/2024 |
| Last Updated: | 09/17/2024 |
Provider Practice Location
1104 W 17TH ST
SANTA ANA
CA
927063506
Practice Location Phone/Fax
| Phone: | 8009305773 |
| Fax: |
Provider Mailing Location
7120 HAYVENHURST AVE STE 322
VAN NUYS
CA
914063813
Provider Mailing Phone/Fax
| Phone: | 8009305773 |
| Fax: |