Individual
AGATHA BALDIVIA-RAYMUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23502 LYONS AVE STE 304A, SANTA CLARITA, CA 91321-2538
(661) 702-0166
Mailing address
23502 LYONS AVE STE 304A, SANTA CLARITA, CA 91321-2538
(661) 702-0166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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