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Individual

MS. CAYETANA JANE FYE-STAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1650 SPRUCE ST, RIVERSIDE, CA 92507-7402
(951) 357-6926
Mailing address
18726 S WESTERN AVE, GARDENA, CA 90248-3813
(310) 856-0800
(855) 568-0800

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CA

Other

Enumeration date
09/21/2023
Last updated
09/21/2023
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