Individual
CAROLENA MORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(800) 515-5016
Mailing address
3731 6TH AVE STE 100, SAN DIEGO, CA 92103-4383
(800) 515-5016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA: 1-13-14042
CA
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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