Individual
CHANIECE R KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E RINCON ST STE 219, CORONA, CA 92879-1387
(951) 817-5328
(941) 817-5604
Mailing address
15575 NUECES CT, MORENO VALLEY, CA 92551-1933
(951) 965-2773
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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