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NPI Code Detail

MEDICARE: VENESSA OFICIAL

MEDICARE: VENESSA OFICIAL
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
1106S00000XBehavior Technician
2106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1437618899
Entity Type Code : Individual
Provider Name (Legal Business Name) : VENESSA OFICIAL
Provider Business Mailing Address
First Line : 4628 E ORANGE GROVE AVE
Second Line :
City : ORANGE
State : CA
Zip : 92869-2719
Country : US
Telephone Number : 714-497-8225
Fax Number :
Provider Business Practice Location Address
First Line : 500 S MAIN ST STE 600
Second Line :
City : ORANGE
State : CA
Zip : 92868-4514
Country : US
Telephone Number : 657-565-3259
Fax Number : 833-706-4826
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2019
Last Update Date : 05/21/2025

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Directions to “ VENESSA OFICIAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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