Yahayra Fuentes

NPI #1992260343 in Lakeside, California

Provider Information

NPI Number: 1992260343
Entity Type: Individual
Name: Yahayra Fuentes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 8, 2019
Last Updated: Feb 8, 2019

Practice Location

Address: 12720 LAUREL ST UNIT 207
City: Lakeside
State: California
ZIP Code: 92040-2115
Phone: (619) 917-0509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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