IndividualActive
Adisatu Aguebor
NPI 1063307098 · Behavior Technician · Rancho Cucamonga, CA
Provider details
- NPI number
- 1063307098
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
10134 6th St
Rancho Cucamonga, CA 91730-5855
Phone: (909) 304-1039
Approximate (ZIP-level) locationGet directions
Mailing address
10134 6th St
Rancho Cucamonga, CA 91730-5855
Registry dates
- Enumerated
- 2025-06-10
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.