Individual
MS. ANEVAY EL FATTAL I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT-I
Contact information
Practice address
20302 FLANNAGAN RD, TRABUCO CANYON, CA 92679
(818) 582-8832
(818) 582-8836
Mailing address
20302 FLANAGAN ROAD, TRABUCO CANYON, CA 92679
(818) 582-8832
(818) 582-8836
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RT1436080326
CA
106S00000X
Behavior Technician
Primary
—
CA
374700000X
Technician
Primary
RT1436080326
CA
Other
Enumeration date
10/17/2025
Last updated
04/08/2026
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