Eliza Brittany Ismerio
Behavior Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1619703584
StatusActive
Last updated in NPPESSep 9, 2024
Details
- NPI
- 1619703584
- Entity type
- Individual (NPI-1)
- Name
- Eliza Brittany Ismerio
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2024
- Certification date
- Sep 9, 2024
- Last updated
- Sep 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
11799 Sebastian Way Ste 103Rancho Cucamonga, CA 91730-0708
Phone 909-353-7547
Mailing address
33496 Miners DrYucaipa, CA 92399-6951
Phone 909-838-0376
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