Giacomo Centty Carbajal
Behavior Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1366092686
StatusActive
Last updated in NPPESSep 18, 2019
Details
- NPI
- 1366092686
- Entity type
- Individual (NPI-1)
- Name
- Giacomo Centty Carbajal
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2019
- Last updated
- Sep 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
8350 Archibald Ave Ste 110Rancho Cucamonga, CA 91730-3670
Phone 858-264-5858
Mailing address
2255 Cahuilla St Apt 88Colton, CA 92324-4746
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