Individual
KIARA KHONSU-AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 218-1868
(855) 568-2494
Mailing address
1290 N TIPPETTS LN, ANAHEIM, CA 92807-2422
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
MPSS-MROVAY
CA
Other
Enumeration date
06/19/2024
Last updated
01/16/2025
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