Andrea Imura

NPI #1023889078 in Ontario, California

Provider Information

NPI Number: 1023889078
Entity Type: Individual
Name: Andrea Imura
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 9, 2024
Last Updated: Jan 9, 2024

Practice Location

Address: 1500 S HAVEN AVE STE 250
City: Ontario
State: California
ZIP Code: 91761-2973
Phone: (909) 749-5204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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