Individual
AIKO GABRIELA CUELLO KOHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 2ND ST STE B, CONCORD, CA 94519-2623
(925) 239-9640
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(949) 833-2237
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
08/11/2020
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