Individual
AGNES GENEVIEVE CHIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
931 BUENA VISTA ST STE 200, DUARTE, CA 91010-1713
(626) 671-8866
Mailing address
931 BUENA VISTA ST STE 200, DUARTE, CA 91010-1713
(626) 671-8866
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
C500-0070-1968
IL
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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