Individual
ADOLF0 MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
3602 INLAND EMPIRE BLVD STE B208, ONTARIO, CA 91764-4912
(909) 491-9363
Mailing address
4175 ADAMS ST, RIVERSIDE, CA 92504-3003
(626) 367-7002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35343
CA
106S00000X
Behavior Technician
E1349108
CA
Other
Enumeration date
01/09/2017
Last updated
08/08/2022
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