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Individual

AILIZ JAVIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3550 CAMINO DEL RIO N STE 104, SAN DIEGO, CA 92108-1738
(760) 634-1125
Mailing address
968 GRANGER ST, SAN DIEGO, CA 92154-1859
(619) 646-0655

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/22/2025
Last updated
07/22/2025
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