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

Kiyoshi Lisette Gloria Moreno

Individual provider Behavior Technician · NPI 1124774161

Kiyoshi Lisette Gloria Moreno is a Behavior Technician in Fullerton, California. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612
Phone: (714) 879-4274
Fax: (714) 879-2274
Show map & directions

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

Additional practice locations (1)

  • 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 — (714) 879-4274

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1124774161
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2022
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022

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