Randy Daniel Vargas
Behavior Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1245007293
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1245007293
- Entity type
- Individual (NPI-1)
- Name
- Randy Daniel Vargas
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 11, 2023
- Certification date
- Dec 9, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9431 Haven Ave Ste 100Rancho Cucamonga, CA 91730-5879
Phone 909-780-1655
Mailing address
9431 Haven Ave Ste 100Rancho Cucamonga, CA 91730-5879
Phone 909-780-1655
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