Individual
SANDRA PATRICIA MONCADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 S BROADWAY, SANTA MARIA, CA 93454-6608
(805) 979-9941
Mailing address
1112 S BROADWAY, SANTA MARIA, CA 93454-6608
(805) 979-9941
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
247200000X
CA
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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