Individual
TRAVIS BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20331 FLANAGAN RD, TRABUCO CANYON, CA 92679
(818) 582-8832
(818) 582-8836
Mailing address
32310 RIVERSIDE DR SPC 21, LAKE ELSINORE, CA 92530-7884
(626) 361-3840
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
374700000X
Technician
Primary
RT1435360326
CA
Other
Enumeration date
06/23/2021
Last updated
04/07/2026
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