Mariah Danielle Villalobos
Behavior Technician in Ontario, CA. Individual provider (NPI-1).
NPI number1265026488
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1265026488
- Entity type
- Individual (NPI-1)
- Name
- Mariah Danielle Villalobos
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2021
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4688 Ontario Mills PkwyOntario, CA 91764-5104
Phone 714-834-1111
Mailing address
50 N Hill Ave Ste 100Pasadena, CA 91106-1949
Phone 626-973-7700
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