Individual
DINAH CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 MANINO CIR APT 203, KIHEI, HI 96753-5208
(562) 714-3559
Mailing address
713 W COMMONWEALTH AVE, FULLERTON, CA 92832-1612
(714) 879-4274
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
F2611915
CA
Other
Enumeration date
02/22/2019
Last updated
02/04/2024
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