Individual
ANNETTE J CEDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8887 PALMETTO AVE, FONTANA, CA 92335-4939
(951) 232-2503
Mailing address
8887 PALMETTO AVE, FONTANA, CA 92335-4939
(951) 232-2503
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
175T00000X
Peer Specialist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
374U00000X
Home Health Aide
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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