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Individual

VENESSA OFICIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 S MAIN ST STE 600, ORANGE, CA 92868-4514
(657) 565-3259
(833) 706-4826
Mailing address
4628 E ORANGE GROVE AVE, ORANGE, CA 92869-2719
(714) 497-8225

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
03/15/2019
Last updated
05/21/2025
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