Individual
ITZHARA ATAI CARRENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 W HAWK ST, HEBER, CA 92249-9749
(176) 033-6942
Mailing address
65 W HAWK ST, HEBER, CA 92249-9749
(760) 336-9425
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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