FALLYN MARIE MONGOLD

RIVERSIDE, CA
NPI1326545039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: CA  1-18-30833)
Enumeration Date2018-04-09
Last Update Date2018-07-24
Business Address
FALLYN MARIE MONGOLD M.Ed
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Phone number: 951-207-5455
Mailing Address
FALLYN MARIE MONGOLD M.Ed
4164 BROCKTON AVE
RIVERSIDE, CA 92501-3400
Phone number: 951-207-5455