Individual
MAYRA CORONA-MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,BCBA.
Contact information
Practice address
100 CONGRESS AVE STE 2000, AUSTIN, TX 78701-2745
(888) 880-9270
Mailing address
1451 RIVER PARK DR STE 285, SACRAMENTO, CA 95815-4522
(888) 880-9270
(954) 342-0273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19002
CA
Other
Enumeration date
07/07/2015
Last updated
03/24/2021
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