Individual
ACHAIA PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1063 MCGAW AVE STE 100, IRVINE, CA 92614-5554
(949) 594-6582
Mailing address
234 AMHERST AISLE, IRVINE, CA 92612-4664
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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