Individual
LILIANA FONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 WOOLSEY ST, BERKELEY, CA 94705-1832
(317) 989-9980
Mailing address
2201 WOOLSEY ST, BERKELEY, CA 94705-1832
(317) 989-9980
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
12/21/2022
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