Ingrid Villavicencio

NPI #1013595651 in Ontario, California

Provider Information

NPI Number: 1013595651
Entity Type: Individual
Name: Ingrid Villavicencio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 1, 2021
Last Updated: Apr 1, 2021

Practice Location

Address: 337 N VINEYARD AVE STE 301
City: Ontario
State: California
ZIP Code: 91764-4455
Phone: (866) 727-8274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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