ELLIS PETRONELLA VAN DEN BOOGAARD

SAN DIEGO, CA
NPI1891514824
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  23-294299)
Additional Taxonomies106S00000X Behavior Technician
(Licence: CA  19-109521)
Enumeration Date2024-10-07
Last Update Date2024-10-07
Business Address
Mrs. ELLIS PETRONELLA VAN DEN BOOGAARD MS Ed., MA
5335 CALLE VIS
SAN DIEGO, CA 92109-1920
Phone number: 858-882-7860
Mailing Address
Mrs. ELLIS PETRONELLA VAN DEN BOOGAARD MS Ed., MA
251 AIRPORT RD
OCEANSIDE, CA 92058-1201
Phone number: 760-072-1170