Deandra Leerine Bucio

NPI #1740004944 in La Grange, California

Provider Information

NPI Number: 1740004944
Entity Type: Individual
Name: Deandra Leerine Bucio
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 13, 2024
Last Updated: Nov 13, 2024

Practice Location

Address: 4363 ABETO ST
City: La Grange
State: California
ZIP Code: 95329-9440
Phone: (209) 606-0507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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