MADISON DE LA FUENTE

Behavior Technician

Active Individual
NPI: 1114707569

Practice Address

4950 SAN BERNARDINO ST STE 101
Montclair, CA 91763

Phone: (800) 249-1266

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1114707569 is the National Provider Identifier for MADISON DE LA FUENTE, a Behavior Technician provider located in Montclair, CA. This NPI was enumerated on October 3, 2023.
MADISON DE LA FUENTE practices at 4950 SAN BERNARDINO ST STE 101, Montclair, CA 91763.

Quick Facts

NPI
1114707569
Type
Individual
Enumerated
Oct 3, 2023
Last Updated
Oct 3, 2023

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