Stormie Monica Ballasco
Behavior Technician in Covina, CA. Individual provider (NPI-1).
NPI number1982246153
StatusActive
Last updated in NPPESOct 9, 2019
Details
- NPI
- 1982246153
- Entity type
- Individual (NPI-1)
- Name
- Stormie Monica Ballasco
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2019
- Last updated
- Oct 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
271 E Workman St Ste 101Covina, CA 91723-3547
Phone 626-331-0335
Mailing address
271 E Workman St Ste 101Covina, CA 91723-3547
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