Individual
MR. ANTONIO MACEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
12459 LEWIS ST STE 201, GARDEN GROVE, CA 92840-6606
(800) 249-1266
Mailing address
12459 LEWIS ST STE 201, GARDEN GROVE, CA 92840-6606
(800) 249-1266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84424
CA
Other
Enumeration date
02/18/2021
Last updated
11/25/2025
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