Beza Evanglene Qualls
NPI #1558238808 in Laguna Beach, California
Provider Information
- NPI Number
- 1558238808
- Entity Type
- Individual
- Name
- Beza Evanglene Qualls
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 21, 2025
- Last Updated
- Oct 21, 2025
Practice Location
- Address
- 1968 S COAST HWY # 2862CA
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92651-3681
- Phone
- (208) 310-1550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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