Individual
ANNIE QI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35265 EL DIAMANTE DR, WILDOMAR, CA 92595-7860
(310) 602-9044
Mailing address
36207 BUR OAKS AVE, MURRIETA, CA 92562-4396
(310) 602-9044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/04/2018
Last updated
07/02/2025
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