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Organization
GUIDING STRIDES
Active
Organization
GUIDING STRIDES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL VICKERS MA (BCBA)
(714) 253-4733
Entity
Organization
Contact information
Practice address
12361 LEWIS ST STE 101, GARDEN GROVE, CA 92840-4683
(714) 253-4733
Mailing address
12361 LEWIS ST STE 101, GARDEN GROVE, CA 92840-4683
(714) 253-4733
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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