Individual
CORNISE SEAWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2398 BENIDORM CIR APT 104, CORONA, CA 92879-7978
(818) 235-4239
Mailing address
2398 BENIDORM CIR APT 104, CORONA, CA 92879-7978
(818) 235-4239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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