Individual
ILIANA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 COLORADO AVE, TURLOCK, CA 95382-2713
(209) 667-2273
Mailing address
981 E GLENWOOD AVE, TURLOCK, CA 95380-7349
(209) 277-3407
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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