Most Relevant Information
Provider Data
| NPI Number: | 1003416710 |
| Provider Name: | STEPHANIE VILLAFUERTE |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/30/2020 |
| Last Updated: | 10/30/2020 |
Provider Practice Location
24081 SANDY GLADE AVE
MORENO VALLEY
CA
925575529
Practice Location Phone/Fax
| Phone: | 9515251990 |
| Fax: |
Provider Mailing Location
24081 SANDY GLADE AVE
MORENO VALLEY
CA
925575529
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |