Individual
BLANCA QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
982 ARTESIA BLVD, HERMOSA BEACH, CA 90254-2707
(217) 246-7688
Mailing address
1301 REDWOOD WAY STE 210, PETALUMA, CA 94954-1134
(707) 806-9921
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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