Individual
TABITHA OBLIGACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
224 N RIVERSIDE AVE STE D, RIALTO, CA 92376-5968
(909) 248-4329
Mailing address
PO BOX 284, RANCHO CUCAMONGA, CA 91739-0284
(909) 248-4329
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
4458
CA
103TC1900X
Counseling Psychologist
4458
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
4458
CA
103TS0200X
School Psychologist
4458
CA
Other
Enumeration date
04/16/2024
Last updated
04/20/2024
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