Malissa Kanczula
Malissa Kanczula is a Behavior Technician in Tustin, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3002 Dow AveTustin, CA 92780-7233
Phone: (657) 294-5113
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1710769062 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 19, 2023 |
| Last updated in NPPES | October 19, 2023 |
| Certification date | October 19, 2023 |
| Mailing address | 3002 Dow Ave, Tustin, CA 92780-7233 |
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