Individual
AZADEH JEBELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 CAMPBELL AVE, REDLANDS, CA 92373-6831
(909) 289-1041
(909) 363-3021
Mailing address
201 CAMPBELL AVE, REDLANDS, CA 92373-6831
(909) 289-1041
(909) 363-3021
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9640
CA
Other
Enumeration date
10/01/2014
Last updated
10/02/2014
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