Angelica Marie Fuentez
Behavior Technician in San Bernardino, CA. Individual provider (NPI-1).
NPI number1659910941
StatusActive
Last updated in NPPESJan 3, 2020
Details
- NPI
- 1659910941
- Entity type
- Individual (NPI-1)
- Name
- Angelica Marie Fuentez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2020
- Certification date
- Jan 3, 2020
- Last updated
- Jan 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
202 E Airport Dr Ste 150San Bernardino, CA 92408-3429
Phone 877-206-1009
Mailing address
202 E Airport Dr Ste 150San Bernardino, CA 92408-3429
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