Keanu Abassi
Individual provider Active NPI Behavior Technician · Orange, CA
NPI 1124861158 · NPPES record last updated Jun 17, 2024
Key facts
- NPI
- 1124861158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1100 W Town and Country Rd Ste 1250
Orange, CA 92868-4633 - Phone
- (949) 357-2556
- Fax
- (855) 568-2494
- NPI assigned
- Jun 17, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1100 W Town and Country Rd Ste 1250
Orange, CA 92868-4633
Mailing address
100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Phone (310) 856-0800
Other providers in Orange, CA
- Avisa Abaian- Eagar
- Carolyn Ann Cailo Abalon
- Michael Akande Abanise
- Edward Abarado
- Benjamin Escalante Abarca III
- Joshua Aviado Abata
- Sarah L Abbamonto
- Lauren Abbas
- Mohammed Abbas
- Sonja Abbassi
All providers in Orange, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.