| Provider / Organization | NPI | Date Certified |
|---|---|---|
| EMILY LARISSA DINGMAN | 1639836927 | 2021-11-21 |
Emily Larissa Dingman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1639836927. Registration indicates Emily Larissa Dingman 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 | Emily Larissa Dingman |
| Practice Office Address | 334 VIA VERA CRUZ STE 107 SAN MARCOS, CA US |
| Practice Office Telephone | 7603045010 |
| Mailing Address | 21600 OXNARD ST STE 1800 WOODLAND HILLS, CA 913677807 US |
| Business Telephone | 8183452345 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
CA |