KAELIN LICCARDO

Behavior Technician

Active Individual
NPI: 1104502103

Practice Address

1820 W ORANGEWOOD AVE STE 110
Orange, CA 92868

Phone: (714) 696-2862

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1104502103 is the National Provider Identifier for KAELIN LICCARDO, a Behavior Technician provider located in Orange, CA. This NPI was enumerated on June 23, 2023.
KAELIN LICCARDO practices at 1820 W ORANGEWOOD AVE STE 110, Orange, CA 92868.

Quick Facts

NPI
1104502103
Type
Individual
Enumerated
Jun 23, 2023
Last Updated
Jun 23, 2023

Nearby Providers