Individual
AITANA VILLASENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3570 CAMINO DEL RIO N STE 105, SAN DIEGO, CA 92108-1747
(619) 874-0600
Mailing address
3570 CAMINO DEL RIO N STE 105, SAN DIEGO, CA 92108-1747
(619) 874-0600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
05/21/2021
Last updated
11/24/2025
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