Individual
AISHA BELAGASEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9620 CHESAPEAKE DR., 105, SAN DIEGO, CA 92123
(626) 658-2905
Mailing address
9620 CHESAPEAKE DR., 105, SAN DIEGO, CA 92123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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