Individual
CEARA MARIE FAZZINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
732 CARNEGIE DR STE 100, SAN BERNARDINO, CA 92408-3589
(909) 756-8887
Mailing address
732 CARNEGIE DR STE 100, SAN BERNARDINO, CA 92408-3589
(909) 756-8887
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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