Most Relevant Information
Provider Data
| NPI Number: | 1003651191 |
| Provider Name: | ANTHONY M VALLEJO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/28/2024 |
| Last Updated: | 06/28/2024 |
Provider Practice Location
1752 E BULLARD AVE STE 101
FRESNO
CA
937105864
Practice Location Phone/Fax
| Phone: | 5599708277 |
| Fax: |
Provider Mailing Location
250 W BULLARD AVE APT 197
CLOVIS
CA
936120815
Provider Mailing Phone/Fax
| Phone: | 5595152412 |
| Fax: |