Individual
BRISEYDA BLANCO AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9620 CHESAPEAKE DR STE 105, SAN DIEGO, CA 92123-1324
(714) 834-1111
Mailing address
9620 CHESAPEAKE DR STE 105, SAN DIEGO, CA 92123-1324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/20/2022
Last updated
01/20/2023
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