Individual
AILEEN SAUCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5750 DIVISION ST STE 104, RIVERSIDE, CA 92506-3259
(951) 900-6390
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
Y2800432
CA
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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