Individual
ANASTASIA MURATALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
(909) 476-5747
Mailing address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
(909) 476-5747
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57052
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/08/2021
Last updated
09/10/2023
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