BLAINE VILLARREAL

SAN DIEGO, CA
NPI1194575753
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: CA  RBT-24-336646)
Enumeration Date2024-03-26
Last Update Date2024-03-26
Business Address
BLAINE VILLARREAL
3878 RUFFIN RD
SAN DIEGO, CA 92123-1842
Phone number: 619-795-9925
Mailing Address
BLAINE VILLARREAL
1989 EDISON CT
CHULA VISTA, CA 91915-1459
Phone number: