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Isabella M De La Fuente

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

NPI number1982254140
StatusActive
Last updated in NPPESMar 11, 2020

Details

NPI
1982254140
Entity type
Individual (NPI-1)
Name
Isabella M De La Fuente
Sex
Female
Sole proprietor
No
Enumeration date
Sep 18, 2019
Certification date
Mar 11, 2020
Last updated
Mar 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1007 Calle Sombra Ste A
San Clemente, CA 92673-6244

Phone 949-272-6146

Mailing address

1007 Calle Sombra Ste A
San Clemente, CA 92673-6244

Phone 949-272-6146

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