Krista Rae Moreno

NPI #1003538604 in Fountain Valley, California

Provider Information

NPI Number: 1003538604
Entity Type: Individual
Name: Krista Rae Moreno
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 12, 2022
Last Updated: Sep 12, 2022

Practice Location

Address: 16480 HARBOR BLVD STE 202
City: Fountain Valley
State: California
ZIP Code: 92708-1361
Phone: (949) 309-1378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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