Individual
DEJA YANAE THERAGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10604 N TRADEMARK PKWY, RANCHO CUCAMONGA, CA 91730-5938
(909) 888-4125
Mailing address
10604 N TRADEMARK PKWY, RANCHO CUCAMONGA, CA 91730-5938
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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