Individual
ADONIA PALACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 S DE ANZA BLVD STE 110, CUPERTINO, CA 95014-5358
(669) 210-0301
Mailing address
2314 AUGUSTA PL, SANTA CLARA, CA 95051-1718
(951) 553-9735
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-61712
CA
Other
Enumeration date
09/10/2019
Last updated
07/13/2020
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