Most Relevant Information
Provider Data
| NPI Number: | 1003679614 |
| Provider Name: | DESIREE RAYLENE MONJE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/05/2024 |
| Last Updated: | 02/05/2024 |
Provider Practice Location
4401 CRENSHAW BLVD STE 215
LOS ANGELES
CA
900431200
Practice Location Phone/Fax
| Phone: | 9495161124 |
| Fax: |
Provider Mailing Location
4401 CRENSHAW BLVD STE 215
LOS ANGELES
CA
900431200
Provider Mailing Phone/Fax
| Phone: | 9495161124 |
| Fax: |