Individual
AJENE GABRIELLE JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 E APPLETON ST APT C, LONG BEACH, CA 90802-3584
(559) 273-5163
Mailing address
5431 E PONTIAC WAY, FRESNO, CA 93727-7531
(559) 273-5163
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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