Dennis James Agudo Jr.
Behavior Technician in Yucaipa, CA. Individual provider (NPI-1).
NPI number1063242501
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1063242501
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dennis James Agudo Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2024
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
34111 Wildwood Canyon Rd Spc 102Yucaipa, CA 92399-2641
Phone 909-991-8352
Mailing address
34111 Wildwood Canyon Rd Spc 102Yucaipa, CA 92399-2641
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All 110 Behavior Technician providers in Yucaipa · All 761 providers in Yucaipa
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