Individual
AWIT DALUSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
16732 CRESCENT GLEN CT, RIVERSIDE, CA 92503-5490
(951) 288-8026
Mailing address
16732 CRESCENT GLEN CT, RIVERSIDE, CA 92503-5490
(951) 288-8026
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1-10-7214
CA
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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