Individual
CATRINA LYNNAE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8350 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730
(858) 364-5858
Mailing address
5668 RAYE ST, JURUPA VALLEY, CA 92509-4443
(951) 836-8054
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKOWN
UNKNOWN
—
Enumeration date
07/16/2019
Last updated
07/16/2019
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