Individual
ADAHLY JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12440 FIRESTONE BLVD STE 316, NORWALK, CA 90650-9319
(562) 864-3722
(562) 864-4596
Mailing address
12440 FIRESTONE BLVD STE 316, NORWALK, CA 90650-9319
(562) 864-3722
(562) 864-4596
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/13/2025
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