Individual
AKIRA ELIZABETH KATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 W 190TH ST STE 110, GARDENA, CA 90248-4370
(714) 707-1607
Mailing address
1063 MCGAW AVE, IRVINE, CA 92614-5505
(714) 707-1607
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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