| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LITZY GISSELLE HERRERA | 1063299469 | 2023-09-11 |
Litzy Gisselle Herrera is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063299469. Registration indicates Litzy Gisselle Herrera is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Litzy Gisselle Herrera |
| Practice Office Address | 12395 LEWIS ST STE 102 GARDEN GROVE, CA US |
| Practice Office Telephone | 7606341125 |
| Mailing Address | 12395 LEWIS ST STE 102 GARDEN GROVE, CA 928404698 US |
| Business Telephone | 7606341125 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |