Maria Renee Provencio
NPI #1023672615 in Anaheim, California
Provider Information
- NPI Number
- 1023672615
- Entity Type
- Individual
- Name
- Maria Renee Provencio
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Apr 29, 2019
- Last Updated
- Dec 12, 2023
Practice Location
- Address
- 2400 E KATELLA AVE STE 800
- City
- Anaheim
- State
- California
- ZIP Code
- 92806-5955
- Phone
- (714) 858-3590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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