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NPI Code Detail

MEDICARE: MRS. AMBER RENE RAEMER BCBA

MEDICARE: MRS. AMBER RENE RAEMER BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-10-6894CA

General Provider Information

NPI Number : 1558618926
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMBER RENE RAEMER BCBA
Provider Business Mailing Address
First Line : 12777 VALLEY VIEW ST STE 121
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92845-2521
Country : US
Telephone Number : 714-337-6484
Fax Number : 855-213-2184
Provider Business Practice Location Address
First Line : 12777 VALLEY VIEW ST STE 121
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92845-2521
Country : US
Telephone Number : 714-337-6484
Fax Number : 855-213-2184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2012
Last Update Date : 04/24/2024

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Directions to “ MRS. AMBER RENE RAEMER BCBA” Practice Location

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