Ilse Aguilera

Individual provider Active NPI Behavior Technician · Ontario, CA

NPI 1396497384 · NPPES record last updated Jan 21, 2022

Key facts

NPI
1396497384
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
337 N Vineyard Ave Ste 301
Ontario, CA 91764-4455
Phone
(866) 727-8274
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

337 N Vineyard Ave Ste 301
Ontario, CA 91764-4455

Mailing address

2550 N Hollywood Way Ste 102
Burbank, CA 91505-5031
Phone (866) 727-8274

Other providers in Ontario, CA

All providers in Ontario, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.