Most Relevant Information
Provider Data
| NPI Number: | 1003434184 |
| Provider Name: | LOURDES SOTELO |
| Entity Type: | Individual |
| Taxonomy Code: | 106E00000X |
| Specialty: | Assistant Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/06/2020 |
| Last Updated: | 07/06/2020 |
Provider Practice Location
4688 ONTARIO MILLS PKWY
ONTARIO
CA
917645104
Practice Location Phone/Fax
| Phone: | 7147850520 |
| Fax: |
Provider Mailing Location
8565 RICHWOOD DR
RANCHO CUCAMONGA
CA
917304335
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |