# TERESA VALLEJO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063911253
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 1-21-55319 | CA | Yes |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 106S00000X | Behavior Technician | — | NULL | — |

## Other

- **Enumeration date:** 02/02/2018
- **Last updated:** 11/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1063911253 | — | CA |