Etelvina Sandoval
Behavior Technician in Ontario, CA. Individual provider (NPI-1).
NPI number1346875853
StatusActive
Last updated in NPPESMar 4, 2020
Details
- NPI
- 1346875853
- Entity type
- Individual (NPI-1)
- Name
- Etelvina Sandoval
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2020
- Certification date
- Mar 4, 2020
- Last updated
- Mar 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1801 Excise Ave Ste 116Ontario, CA 91761-8557
Phone 818-241-6780
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780
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