DANIEL A LICONA

CLOVIS, CA
NPI1033944277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2024-09-06
Last Update Date2025-03-04
Business Address
DANIEL A LICONA
90 W ASHLAN AVE STE 100
CLOVIS, CA 93612-5627
Phone number: 559-420-5137
Mailing Address
DANIEL A LICONA
11150 W OLYMPIC BLVD STE 1160
LOS ANGELES, CA 90064-1826
Phone number:
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