Provider Demographics
NPI:1437614799
Name:KAMLIOT, DEBORAH ZONENSCHEIN
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ZONENSCHEIN
Last Name:KAMLIOT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23151 VERDUGO DR STE 113
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1340
Mailing Address - Country:US
Mailing Address - Phone:949-949-4422
Mailing Address - Fax:
Practice Address - Street 1:64 LINDA LN
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-7711
Practice Address - Country:US
Practice Address - Phone:805-440-9359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician