Individual
ADETOUN FIDELIA FAKOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21515 HAWTHORNE BLVD, TORRANCE, CA 90503-6501
(424) 571-2618
Mailing address
21515 HAWTHORNE BLV TORANCE, HAWTHORNE, CA 90503-9334
(424) 571-2618
(424) 571-2339
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
02/08/2024
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