Marisol Moreno

NPI #1003416785 in Tustin, California

Provider Information

NPI Number: 1003416785
Entity Type: Individual
Name: Marisol Moreno
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 30, 2020
Last Updated: Oct 30, 2020

Practice Location

Address: 18002 IRVINE BLVD STE 202C
City: Tustin
State: California
ZIP Code: 92780-3322
Phone: (949) 923-1733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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