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Organization
LEAFWING
Active
Organization
LEAFWING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SHIGEO TANIGAWA (BEHAVIOR TECHNICIAN)
(310) 561-6576
Entity
Organization
Contact information
Practice address
2127 W ORANGEWOOD AVE, ORANGE, CA 92868-1954
(714) 710-3040
Mailing address
2127 W ORANGEWOOD AVE, ORANGE, CA 92868-1954
(714) 710-3040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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