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Jonathan Shaun Altamirano

Behavior Technician in Fullerton, CA. Individual provider (NPI-1).

NPI number1417640640
StatusActive
Last updated in NPPESJun 1, 2023

Details

NPI
1417640640
Entity type
Individual (NPI-1)
Name
Jonathan Shaun Altamirano
Sex
Female
Sole proprietor
No
Enumeration date
Jun 1, 2023
Certification date
Jun 1, 2023
Last updated
Jun 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Other names

  • Riley Shaun Altamirano (Other Name)

Practice location

713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612

Phone 814-879-4274 · Fax 714-879-2274

Mailing address

713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612

Phone 714-879-4274 · Fax 714-879-2274

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