ELSIE LARA BENAVIDEZ

POMONA, CA
NPI1285298893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies106S00000X Behavior Technician
(Licence: CA  Y9248689)
Enumeration Date2019-04-29
Last Update Date2022-10-19
Business Address
ELSIE LARA BENAVIDEZ
21 RANCHO CAMINO DR STE 106
POMONA, CA 91766-7020
Phone number: 855-223-7123
Mailing Address
ELSIE LARA BENAVIDEZ
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123