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Individual

ASHLEY DEPEAZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
612 S MYRTLE AVE, MONROVIA, CA 91016-3406
(909) 689-4135
Mailing address
13381 MAGNOLIA AVE SPC 32, CORONA, CA 92879-1941

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst

Other

Enumeration date
12/07/2017
Last updated
12/07/2017
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