Individual
AALIYAH A NINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7638 PEPPERTREE DR, STOCKTON, CA 95207-1448
(209) 639-6011
Mailing address
2291 W MARCH LN STE C101, STOCKTON, CA 95207-6669
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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