Angelo Nino Banaban
Angelo Nino Banaban is a Behavior Technician in Garden Grove, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
12395 Lewis St Ste 102Garden Grove, CA 92840-4698
Phone: (760) 634-1125
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1487475406 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 22, 2024 |
| Last updated in NPPES | October 22, 2024 |
| Certification date | October 22, 2024 |
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