Individual
ANA FUENTES CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7253 PURDUE AVE, LA MESA, CA 91942-5919
(619) 844-7736
Mailing address
16255 VENTURA BLVD STE 900, ENCINO, CA 91436-2317
(801) 823-0189
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46457
CA
106E00000X
Assistant Behavior Analyst
0-17-7616
CA
Other
Enumeration date
04/06/2017
Last updated
11/28/2023
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