MARY NORTHUM

Behavior Technician

Active Individual
NPI: 1114816345

Practice Address

12459 LEWIS ST STE 201
Garden Grove, CA 92840

Phone: (800) 249-1266

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1114816345 is the National Provider Identifier for MARY NORTHUM, a Behavior Technician provider located in Garden Grove, CA. This NPI was enumerated on July 1, 2025.
MARY NORTHUM practices at 12459 LEWIS ST STE 201, Garden Grove, CA 92840.

Quick Facts

NPI
1114816345
Type
Individual
Enumerated
Jul 1, 2025
Last Updated
Jul 1, 2025

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