| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MYA AUNGELIQUE FOSTER | 1629705819 | 2022-08-07 |
Mya Aungelique Foster is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1629705819. Registration indicates Mya Aungelique Foster 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 | Mya Aungelique Foster |
| Practice Office Address | 490 CHADBOURNE RD STE A131 FAIRFIELD, CA US |
| Practice Office Telephone | 8446363987 |
| Practice Office Fax | 7074026059 |
| Mailing Address | 490 CHADBOURNE RD STE A131 FAIRFIELD, CA 945341862 US |
| Business Telephone | 8446363987 |
| Business Fax | 7074026059 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |