Individual
MISS ANGELICA DE ASIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E RINCON ST STE 219, CORONA, CA 92879-1387
(951) 817-5328
Mailing address
14303 BOTTLEBRUSH WAY, MORENO VALLEY, CA 92555-6945
(951) 388-8964
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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