Individual
SAVANNAH FAITH BACLIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5340 MYRA AVE, CYPRESS, CA 90630-4569
(714) 828-6400
(714) 828-3400
Mailing address
5400 MYRA AVE, CYPRESS, CA 90630-4559
(714) 828-6400
(714) 828-3400
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/06/2021
Last updated
01/23/2024
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