Individual
COLBY ANASTACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 BUSINESS CENTER DR UNIT 100, SAN BERNARDINO, CA 92408-3460
(909) 435-0212
Mailing address
381 W BARBOUR ST APT B110, BANNING, CA 92220-4916
(224) 381-8184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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