Individual
AFSANEH OMRONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6465 WEST LN APT 264, STOCKTON, CA 95210-3336
(209) 981-8893
Mailing address
2291 W MARCH LN STE C101, STOCKTON, CA 95207-6669
(209) 981-8893
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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