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12588 Yorkshire Dr Apple Valley CA 92308-2708 | |
| (760) 662-7511 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12588 Yorkshire Dr, Apple Valley, California |
| Authorized Official Name and Position | Jenai Solano (OWNER) |
| Authorized Official Contact | 7606627511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12588 Yorkshire Dr Apple Valley CA 92308-2708 Ph: (760) 662-7511 | 12588 Yorkshire Dr Apple Valley CA 92308-2708 Ph: (760) 662-7511 |
| NPI Number | 1811762750 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811762750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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