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Individual

ASHOREENA YAKOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
921 W AVENUE J STE C, LANCASTER, CA 93534-3443
(818) 788-1003
Mailing address
921 W. AVENUE J, SUITE C. LANCASTER, LANCASTER, CA 93535
(661) 618-7440

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
CA
106S00000X
Behavior Technician
225400000X
Rehabilitation Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0016375855
KAISER PERMANENTE
Enumeration date
02/15/2019
Last updated
07/03/2025
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