Provider Demographics
NPI:1396305603
Name:CANTO, AMBER ANN (BCBA)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:ANN
Last Name:CANTO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11972 WILD GOOSE ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-1436
Mailing Address - Country:US
Mailing Address - Phone:714-376-5739
Mailing Address - Fax:
Practice Address - Street 1:11972 WILD GOOSE ST
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-1436
Practice Address - Country:US
Practice Address - Phone:714-376-5739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-19-36142103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst