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Individual

CELINA ANGELICA MAYORGA QUANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
3336 BRADSHAW RD STE 140, SACRAMENTO, CA 95827-2697
(916) 632-1330
Mailing address
18726 S WESTERN AVE STE 408, GARDENA, CA 90248-3858
(310) 856-0800

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46041
CA
106S00000X
Behavior Technician
16-15408

Other

Enumeration date
04/23/2018
Last updated
12/02/2020
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