Individual
AH-KISHA LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16410 BLOOMFIELD AVE STE B, CERRITOS, CA 90703-2144
(562) 760-4429
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(949) 833-2237
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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