Edgar Valentin Fierros
Behavior Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1982207593
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1982207593
- Entity type
- Individual (NPI-1)
- Name
- Edgar Valentin Fierros
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2020
- Certification date
- Nov 17, 2020
- Last updated
- Nov 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6529 Riverside Ave Ste 270Riverside, CA 92506-3122
Phone 657-236-1287 · Fax 714-333-4535
Mailing address
Po Box 53413Irvine, CA 92619-3413
Phone 657-236-1287 · Fax 714-333-4535
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