Individual
AILEEN TORRES ROBLEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ALFRED NOBEL DR # 275, HERCULES, CA 94547-1838
(510) 230-5007
Mailing address
500 ALFRED NOBEL DR STE 275, HERCULES, CA 94547-1838
(510) 230-5007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801356787
—
CA
Enumeration date
04/21/2023
Last updated
04/21/2023
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