Individual
SELINA RENEE BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 NEWMAN AVE, RUMFORD, RI 02916-1218
(401) 270-7110
Mailing address
4 RANCHO VISTA PL, POMONA, CA 91766-4789
(909) 706-0097
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41550
—
Other
Enumeration date
02/21/2018
Last updated
04/25/2024
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