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Organization
ASCENT ABA
Active
Organization
ASCENT ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CARRILLO BCBA (DIRECTOR)
(559) 975-9418
Entity
Organization
Contact information
Practice address
9887 SUMMERHILL RD, RANCHO CUCAMONGA, CA 91737-1677
(909) 579-2524
Mailing address
6649 AMETHYST AVE UNIT 9321, RANCHO CUCAMONGA, CA 91701-1557
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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