DANIEL ANTHONY LICONA

CLOVIS, CA
NPI1033944277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies106S00000X Behavior Technician
171M00000X Case Manager/Care Coordinator
172V00000X Community Health Worker
Enumeration Date2024-09-06
Last Update Date2025-06-10
Business Address
DANIEL ANTHONY LICONA
90 W ASHLAN AVE STE 100
CLOVIS, CA 93612-5627
Phone number: 559-420-5137
Mailing Address
DANIEL ANTHONY LICONA
11150 W OLYMPIC BLVD STE 1160
LOS ANGELES, CA 90064-1826
Phone number: