Individual
CARLISE MONIQUE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 E RINCON ST STE 209, CORONA, CA 92879-1379
(562) 821-1491
Mailing address
10320 KITE CT, MORENO VALLEY, CA 92557-2762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
CA
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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