NPI 1902586449

Mia Ileene Simone

Practitioner Assistant Behavior Analyst Redondo Beach, CA

Practice location

Address: 119 W Torrance Blvd STE 100, Redondo Beach, CA 90277-3600
Phone: (310) 374-3300
Fax: (310) 374-3307

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-25-16334 (CA)

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Registry record

NPI: 1902586449
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2023
Record last updated: 9 Oct 2025

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.