Individual
BIANCA CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 N DEWITT AVE, CLOVIS, CA 93612-0311
(559) 575-8172
Mailing address
5060 E LAMONA AVE, FRESNO, CA 93727-2029
(559) 433-7522
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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