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Individual

ASHLEY ROTOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1230 ARMSTRONG DR, MANTECA, CA 95336-4115
(408) 679-1888
Mailing address
1230 ARMSTRONG DR, MANTECA, CA 95336-4115
(408) 679-1888

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39139
CA
106S00000X
Behavior Technician
CA

Other

Enumeration date
02/27/2018
Last updated
12/07/2022
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