Individual
DAISY PADILLA-FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 USTICK RD, MODESTO, CA 95358-6963
(209) 702-5575
Mailing address
2216 USTICK RD, MODESTO, CA 95358-6963
(209) 702-5575
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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