Individual
AERYL ANCHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 LYON RDG, ALISO VIEJO, CA 92656-5278
(858) 214-9697
Mailing address
44 LYON RDG, ALISO VIEJO, CA 92656-5278
(858) 214-9697
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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