Robert David Eggleston Jr.
Behavior Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1619702370
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1619702370
- Entity type
- Individual (NPI-1)
- Name
- Robert David Eggleston Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2024
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
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 909-330-8026 · Fax 909-452-7136
Mailing address
1196 W Pinedale AveRialto, CA 92376-8307
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