Individual
AJANE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 E WILLIAMS ST, BARSTOW, CA 92311-3048
(855) 581-0100
Mailing address
2080 N TUSTIN AVE STE B, SANTA ANA, CA 92705-7875
(855) 581-0100
(949) 709-0311
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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