Individual
ALANA QUINN HEAVICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26720 YNEZ CT, TEMECULA, CA 92591-4659
(951) 813-4034
Mailing address
30660 MILKY WAY DR APT G55, TEMECULA, CA 92592-3266
(805) 612-9056
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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