| Leafwing | |
|
2127 W Orangewood Ave Orange CA 92868-1954 | |
| (714) 710-3040 | |
| Not Available |
| Full Name | Leafwing |
|---|---|
| Speciality | Behavior Technician |
| Location | 2127 W Orangewood Ave, Orange, California |
| Authorized Official Name and Position | Steven Shigeo Tanigawa (BEHAVIOR TECHNICIAN) |
| Authorized Official Contact | 3105616576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leafwing 2127 W Orangewood Ave Orange CA 92868-1954 Ph: (714) 710-3040 | Leafwing 2127 W Orangewood Ave Orange CA 92868-1954 Ph: (714) 710-3040 |
| NPI Number | 1306414016 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306414016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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