Individual
ANJANETTE AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 S AMPHLETT BLVD STE 110, SAN MATEO, CA 94402-2710
(650) 931-6300
Mailing address
1720 S AMPHLETT BLVD STE 110, SAN MATEO, CA 94402-2710
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A7955670
DL
CA
Enumeration date
04/22/2019
Last updated
06/11/2019
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