Individual
KEN-YA A URIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 E 3RD ST SPC 10, HOLTVILLE, CA 92250-1522
(442) 250-2224
Mailing address
640 E 3RD ST SPC 10, HOLTVILLE, CA 92250-1522
(442) 250-2224
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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