Individual
AIDA DORANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 E HEIM AVE STE 202, ORANGE, CA 92865-3016
(714) 464-9080
Mailing address
1815 E HEIM AVE STE 202, ORANGE, CA 92865-3016
(714) 464-9080
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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