Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
N | 103TC1900X | Counseling Psychologist | ||
Y | 106S00000X | Behavior Technician |
NPI | 1104391523 |
---|---|
Provider Name | Monica Youssef |
First Address | Irvine, CA 92606-2417 |
Second Address | Irvine, CA 92606-2417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2018 |
Last Update Date | 22/01/2020 |