Individual
ANGELA DECORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Contact information
Practice address
800 FERRARI STE 100, ONTARIO, CA 91764-5031
(510) 205-6790
Mailing address
800 FERRARI STE 100, ONTARIO, CA 91764-5031
(510) 205-6790
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15973
CA
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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