Individual
ADELINE NIBITANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 CREEKSIDE RIDGE DR STE 280, ROSEVILLE, CA 95678-3504
(619) 321-9206
Mailing address
1075 CREEKSIDE RIDGE DR STE 280, ROSEVILLE, CA 95678-3504
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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