Provider Demographics
NPI:1083319917
Name:ALMARAZ, MONIQUE RENEE
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:RENEE
Last Name:ALMARAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6989 CALEDONIA WAY
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-9064
Mailing Address - Country:US
Mailing Address - Phone:562-346-0490
Mailing Address - Fax:
Practice Address - Street 1:6989 CALEDONIA WAY
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-9064
Practice Address - Country:US
Practice Address - Phone:562-346-0490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103K00000X103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst