ALAIA PROVENCIO

STOCKTON, CA
NPI1376296905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-02-02
Last Update Date2022-02-02
Business Address
ALAIA PROVENCIO
2453 GRAND CANAL BLVD STE A
STOCKTON, CA 95207-8259
Phone number: 855-223-7123
Mailing Address
ALAIA PROVENCIO
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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