Provider Demographics
NPI:1629668611
Name:WEBB, VICTORIA SKYE
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:SKYE
Last Name:WEBB
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 1:9027 3/4 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-6401
Mailing Address - Country:US
Mailing Address - Phone:562-374-6206
Mailing Address - Fax:
Practice Address - Street 1:4227 W REGENT DR
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-2241
Practice Address - Country:US
Practice Address - Phone:562-374-6202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst