Individual
CESAR ADALID QUIJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
828 E 19TH ST, DOUGLAS, AZ 85607-1106
(520) 227-1947
Mailing address
828 E 19TH ST, DOUGLAS, AZ 85607-1106
(520) 227-1947
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB526360
AZ
Other
Enumeration date
11/25/2020
Last updated
11/28/2020
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