Bethany Perdomo
Behavior Technician in Monrovia, CA. Individual provider (NPI-1).
NPI number1730833757
StatusActive
Last updated in NPPESFeb 8, 2022
Details
- NPI
- 1730833757
- Entity type
- Individual (NPI-1)
- Name
- Bethany Perdomo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2022
- Certification date
- Feb 8, 2022
- Last updated
- Feb 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1333 S Mayflower AveMonrovia, CA 91016-4066
Phone 818-241-6780
Mailing address
1333 S Mayflower AveMonrovia, CA 91016-4066
Phone 209-328-8231
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