Individual
AILEEN MALVAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 LAKES DR STE 320, WEST COVINA, CA 91790-2938
(888) 428-3223
(323) 866-1881
Mailing address
4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 90010-3537
(888) 428-3223
(323) 556-3048
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
02/17/2020
Last updated
10/19/2021
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