Individual
CARLENE BASELERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1063 MCGAW AVE STE 100, IRVINE, CA 92614-5554
(657) 242-2079
Mailing address
1063 MCGAW AVE STE 100, IRVINE, CA 92614-5554
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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