Healthcare Provider Details

I. General information

NPI: 1326568544
Provider Name (Legal Business Name): AMBER A MAJICK BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2017
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11307 WARNER AVE #339
FOUNTAIN VALLEY CA
92708-4007
US

IV. Provider business mailing address

11307 WARNER AVE #339
FOUNTAIN VALLEY CA
92708-4007
US

V. Phone/Fax

Practice location:
  • Phone: 800-273-4292
  • Fax: 949-253-4627
Mailing address:
  • Phone: 800-273-4292
  • Fax: 949-253-4627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-64294
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: