Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ava Mary Formica

Individual provider Behavior Technician · NPI 1003675737

Ava Mary Formica is a Behavior Technician in Orange, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2050 W Chapman Ave Ste 273
Orange, CA 92868-2696
Phone: (949) 989-6932
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1003675737
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 15, 2024
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024
Mailing address2050 W Chapman Ave Ste 273, Orange, CA 92868-2696

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