Most Relevant Information
Provider Data
| NPI Number: | 1003418195 |
| Provider Name: | ISIS MARIE POLLARD |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/12/2020 |
| Last Updated: | 11/12/2020 |
Provider Practice Location
12235 BEACH BLVD
STANTON
CA
906803939
Practice Location Phone/Fax
| Phone: | 7142932792 |
| Fax: |
Provider Mailing Location
35655 PEPPERMINT PL
MURRIETA
CA
925624492
Provider Mailing Phone/Fax
| Phone: | 9517757138 |
| Fax: |