NPI 1174170732 · live from the CMS NPI Registry
Marisol Abundis
Behavior Analyst in Menifee, CA. National Provider Identifier 1174170732, active.
NPI record
| NPI | 1174170732 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 26900 Newport Rd Ste 111, Menifee, CA 92584 |
| Practice phone | 951-309-9135 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | August 19, 2019 |
| Last updated | August 19, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.