Individual
ADISATU AGUEBOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10134 6TH ST, RANCHO CUCAMONGA, CA 91730-5855
(909) 304-1039
Mailing address
10134 6TH ST, RANCHO CUCAMONGA, CA 91730-5855
(909) 304-1039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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