Individual
RAFAEL BAZUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 W HORNE RD, EL CENTRO, CA 92243-9615
(760) 997-6018
Mailing address
285 W HORNE RD, EL CENTRO, CA 92243-9615
(760) 997-6018
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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