Elijah De Vera
Elijah De Vera is a Behavior Technician in Lake Forest, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
23701 Birtcher DrLake Forest, CA 92630-1772
Phone: (855) 581-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1932866142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 22, 2021 |
| Last updated in NPPES | November 22, 2021 |
| Certification date | November 22, 2021 |
| Mailing address | 2080 N Tustin Ave Ste B, Santa Ana, CA 92705-7875 |
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