Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | CA |
NPI | 1144973819 |
---|---|
Provider Name | Joseph Jorge Arguello JR. |
First Address | Calexico, CA 92231-4101 |
Second Address | Calexico, CA 92231-4101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2022 |
Last Update Date | 01/02/2022 |