Individual
CLARISSA CHARLENE CHAGOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1274 CENTER COURT DR, COVINA, CA 91724-3668
(626) 339-4999
Mailing address
406 PROSPECT AVE, RIVERSIDE, CA 92507-1419
(951) 542-8786
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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