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Individual

BENICIA LIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
(909) 479-5747
Mailing address
4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 90010-3537
(888) 428-3223
(323) 866-1881

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59687
CA
374700000X
Technician

Other

Enumeration date
07/16/2019
Last updated
07/01/2025
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