Khristian Ascencio

NPI #1093391435 in Lake Balboa, California

Provider Information

NPI Number: 1093391435
Entity Type: Individual
Name: Khristian Ascencio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 23, 2021
Last Updated: Mar 24, 2021

Practice Location

Address: 16605 SHERMAN WAY
City: Lake Balboa
State: California
ZIP Code: 91406-3735
Phone: (818) 855-1157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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