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Individual

CARISSA MARIE ZAMORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1151 DOVE ST STE 202, NEWPORT BEACH, CA 92660-2853
(714) 381-6258
Mailing address
1907 W OAK AVE, FULLERTON, CA 92833-3729
(714) 381-6258

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72885
CA
106S00000X
Behavior Technician
CA

Other

Enumeration date
02/03/2022
Last updated
05/23/2024
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