Raquel Madrigal
Behavior Technician in Victorville, CA. Individual provider (NPI-1).
NPI number1689397697
StatusActive
Last updated in NPPESSep 23, 2022
Details
- NPI
- 1689397697
- Entity type
- Individual (NPI-1)
- Name
- Raquel Madrigal
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2022
- Certification date
- Sep 23, 2022
- Last updated
- Sep 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
15490 Civic Dr Ste 104Victorville, CA 92392-2382
Phone 442-327-9172
Mailing address
15490 Civic Dr Ste 104Victorville, CA 92392-2382
Phone 442-327-9172
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