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Dianamae Pagilagan

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

NPI number1669008751
StatusActive
Last updated in NPPESMar 20, 2020

Details

NPI
1669008751
Entity type
Individual (NPI-1)
Name
Dianamae Pagilagan
Sex
Female
Sole proprietor
No
Enumeration date
Mar 20, 2020
Certification date
Mar 20, 2020
Last updated
Mar 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

16410 Bloomfield Ave Ste B
Cerritos, CA 90703-2144

Phone 562-760-4429

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Phone 949-833-2237

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