Coral Lake
Coral Lake is a Behavior Technician in Anaheim, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1301 E Orangewood AveAnaheim, CA 92805-6807
Phone: (800) 249-1266
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1295566362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 12, 2024 |
| Last updated in NPPES | August 12, 2024 |
| Certification date | August 11, 2024 |
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