Provider Demographics
NPI:1770355844
Name:QUINONES, NAJLAA
Entity type:Individual
Prefix:
First Name:NAJLAA
Middle Name:
Last Name:QUINONES
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 1:1911 STERLING AVE
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657-2046
Mailing Address - Country:US
Mailing Address - Phone:951-729-0697
Mailing Address - Fax:
Practice Address - Street 1:1911 STERLING AVE
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:CA
Practice Address - Zip Code:93657-2046
Practice Address - Country:US
Practice Address - Phone:951-729-0697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2024-04-11
Deactivation Date:2023-10-23
Deactivation Code:
Reactivation Date:2024-04-11
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst