Individual
COLEEN CUBACUB NAGRAMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23505 WHITE DOVE DR, LAKE FOREST, CA 92630-3768
(949) 614-3759
Mailing address
23505 WHITE DOVE DR, LAKE FOREST, CA 92630-3768
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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