Individual
AJA PEREZ-HENRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
865 HACIENDA AVE, MANTECA, CA 95336-3318
(510) 304-4482
Mailing address
865 HACIENDA AVE, MANTECA, CA 95336-3318
(510) 304-4482
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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