Individual
SALVADOR SOTELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11167 WAGON TRAIN RD, PHELAN, CA 92371-8166
(949) 310-7596
Mailing address
PO BOX 720959, PINON HILLS, CA 92372-0959
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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