Wellformed AI

NPI 1093103897 · live from the CMS NPI Registry

Danielle Acevedo, B.C.B.A.

Behavior Analyst in Fontana, CA. National Provider Identifier 1093103897, active.

NPI record

NPI1093103897 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location7650 Tokay Ave, Fontana, CA 92336
Practice phone909-730-6272
EnumeratedDecember 31, 2014
Last updatedDecember 30, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-14-16731 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.