Individual
AHNIYA GRACE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 LONG BEACH BLVD STE 100, LONG BEACH, CA 90807-2008
(855) 223-7123
Mailing address
3186 AIRWAY AVE, COSTA MESA, CA 92626-4650
(714) 881-0427
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
Y6040931
CA
Other
Enumeration date
08/29/2024
Last updated
11/08/2024
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