Individual
VIVIANA VILLICANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5445 W SWEET DR, VISALIA, CA 93291-9280
(559) 747-2177
Mailing address
5445 W SWEET DR, VISALIA, CA 93291-9280
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/04/2018
Last updated
10/15/2018
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