Most Relevant Information
Provider Data
| NPI Number: | 1003515586 |
| Provider Name: | BERENICE DE LA ROSA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/23/2023 |
| Last Updated: | 02/23/2023 |
Provider Practice Location
626 W LANCASTER BLVD # 52
LANCASTER
CA
935343108
Practice Location Phone/Fax
| Phone: | 6612583211 |
| Fax: | 8555682494 |
Provider Mailing Location
626 W LANCASTER BLVD # 52
LANCASTER
CA
935343108
Provider Mailing Phone/Fax
| Phone: | 6612583211 |
| Fax: | 8555682494 |