Healthcare Provider Details

I. General information

NPI: 1134045214
Provider Name (Legal Business Name): QUINCY STRICKLAND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W TOWN AND COUNTRY RD STE 1225
ORANGE CA
92868-4638
US

IV. Provider business mailing address

B7200 13800 BIOLA AVE
LA MIRADA CA
90638
US

V. Phone/Fax

Practice location:
  • Phone: 714-542-2400
  • Fax:
Mailing address:
  • Phone: 503-367-7552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number106S00000X
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: