Provider Demographics
NPI:1427844851
Name:TOTO, ANTOINETTE ELIZABETH
Entity type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:ELIZABETH
Last Name:TOTO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 AVENUE OF THE ARTS APT B403
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-7615
Mailing Address - Country:US
Mailing Address - Phone:949-322-5280
Mailing Address - Fax:
Practice Address - Street 1:1307 DARWIN DR
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-6608
Practice Address - Country:US
Practice Address - Phone:949-322-5280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAY5521373103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst