NPI 1003378373

Mina Grace

Practitioner Behavior Technician Newhall, CA

Practice location

Address: 23502 Lyons Ave STE 304a, Newhall, CA 91321-2538
Phone: (661) 702-0166
Mailing address: 28563 Linda Vista St, Canyon Country, CA 91387-3188

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 106S00000X (CA)

Other Behavior Technician providers in California →

Registry record

NPI: 1003378373
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2019
Record last updated: 4 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.