Ethan Vela

NPI #1780490706 in Hesperia, California

Provider Information

NPI Number: 1780490706
Entity Type: Individual
Name: Ethan Vela
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 4, 2024
Last Updated: Dec 4, 2024

Practice Location

Address: 12021 JACARANDA AVE STE 302
City: Hesperia
State: California
ZIP Code: 92345-4978
Phone: (909) 749-5204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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