Individual
BA DAT LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5016 W 5TH ST APT C, SANTA ANA, CA 92703-3190
(657) 452-1111
Mailing address
5016 W 5TH ST APT C, SANTA ANA, CA 92703-3190
(657) 452-1111
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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