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Individual

BLAIR NICOLE SONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.,P.P.S.,B.C.B.A

Contact information

Practice address
1220 E WASHINGTON AVE, REEDLEY, CA 93654-3595
(559) 305-7130
Mailing address
5290 E DWIGHT WAY, FRESNO, CA 93727-5988
(559) 287-9121

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-7994
CA
103TS0200X
School Psychologist
CA

Other

Enumeration date
08/06/2012
Last updated
08/06/2012
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