Individual
AILEEN PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11452 TROTTER LN, FONTANA, CA 92337-9036
(909) 702-1949
Mailing address
11452 TROTTER LN, FONTANA, CA 92337-9036
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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