Individual
ADELINE LEIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1552 LOMA LN, CHULA VISTA, CA 91911-5312
(619) 446-7934
Mailing address
1552 LOMA LN, CHULA VISTA, CA 91911-5312
(619) 446-7934
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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