Individual
AHMARION SHUMPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15490 CIVIC DR STE 103, VICTORVILLE, CA 92392-2382
(442) 327-9172
Mailing address
2790 DUFFY ST, SAN BERNARDINO, CA 92407-6481
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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