Individual
MISS ADEY CLARISSE MAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12459 LEWIS ST STE 201, GARDEN GROVE, CA 92840-6606
(800) 249-1266
Mailing address
109 OAK ST STE G20, NEWTON, MA 02464-1492
(617) 658-5611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
09/05/2025
Last updated
06/11/2026
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