Individual
AILING JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8350 ARCHIBALD AVE STE 110, RANCHO CUCAMONGA, CA 91730-3670
(951) 462-9397
Mailing address
5789 QUIROZ DR, JURUPA VALLEY, CA 92509-7081
(951) 462-9397
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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