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Individual

AIMEE YING YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2291 W MARCH LN STE C101, STOCKTON, CA 95207-6669
(916) 729-3098
Mailing address
2291 W MARCH LN STE C101, STOCKTON, CA 95207-6669
(916) 729-3098

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6695
LEARNING ARTS
CA
Enumeration date
04/13/2018
Last updated
06/16/2018
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