Individual
AILEEN GENEROSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11650 IBERIA PL STE 130, SAN DIEGO, CA 92128-2431
(858) 264-5858
(858) 649-6012
Mailing address
1980 OLIVIA GLN, ESCONDIDO, CA 92025-6659
(858) 361-6681
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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