Luis Duran
Behavior Technician in Fontana, CA. Individual provider (NPI-1).
NPI number1063166239
StatusActive
Last updated in NPPESFeb 7, 2022
Details
- NPI
- 1063166239
- Entity type
- Individual (NPI-1)
- Name
- Luis Duran
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2022
- Certification date
- Feb 7, 2022
- Last updated
- Feb 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6949 Dew Point WayFontana, CA 92336-1865
Phone 909-317-8499
Mailing address
6949 Dew Point WayFontana, CA 92336-1865
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