Rachelle Al-Kazzi

Individual provider Active NPI Behavior Technician · Laguna Hills, CA

NPI 1609345875 · NPPES record last updated Nov 17, 2018

Key facts

NPI
1609345875
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
25201 Paseo de Alicia Ste 110
Laguna Hills, CA 92653-4627
Phone
(818) 241-6780
Fax
(818) 241-6853
NPI assigned
Nov 17, 2018
Sex
Female
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

25201 Paseo de Alicia Ste 110
Laguna Hills, CA 92653-4627

Mailing address

206 N Jackson St
Glendale, CA 91206-4330
Phone (818) 241-6780

Other providers in Laguna Hills, CA

All providers in Laguna Hills, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.