Individual
CECILIA RAQUEL PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3306 DAISY AVE, LONG BEACH, CA 90806-1230
(562) 794-8261
Mailing address
2433 ELM AVE, LONG BEACH, CA 90806-3120
(562) 794-8261
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/22/2018
Last updated
07/22/2018
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