ANISA AIDARUS
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1942011929- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2423 HOOVER AVE, NATIONAL CITY, CA, 919506619
- Phone
- (619) 795-9925
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
1800 SANTA CAROLINA RD APT 51
CHULA VISTA, CA, 919133779