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Individual

CHRISTOPHER JAMES DIETRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BEHAVIOR ANALYST

Contact information

Practice address
10604 N TRADEMARK PKWY STE 308, RANCHO CUCAMONGA, CA 91730-5938
(909) 484-2848
Mailing address
10604 N TRADEMARK PKWY STE 308, RANCHO CUCAMONGA, CA 91730-5938
(909) 484-2848

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
RBT-15-08480
CA

Other

Enumeration date
01/24/2017
Last updated
11/04/2021
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