Patricia Cornelious
Patricia Cornelious is a Behavior Technician in Tarzana, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
6005 Yolanda AveTarzana, CA 91356-1421
Phone: (818) 996-1051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R1451551221 (CA) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1316596323 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 11, 2019 |
| Last updated in NPPES | February 2, 2022 |
| Certification date | February 2, 2022 |
| Mailing address | 18646 Oxnard St, Tarzana, CA 91356-1411 |
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