Individual
AINA ELSA MANOJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N GRAND AVE STE A, SANTA ANA, CA 92701-2611
(949) 540-9992
Mailing address
1500 N GRAND AVE STE A, SANTA ANA, CA 92701-2611
(949) 540-9992
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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